一名年轻患者中被忽视的同侧股骨颈骨不连合并股骨干骨不连及其治疗——1例罕见病例报告
Neglected Ipsilateral Non-Union Neck of Femur with Shaft of Femur Non-Union in A Young Patient and Its Management - A Rare Case Report.
作者信息
Shetty Ganesh Ramesh, Meignanaguru Muthusaravakumar, Dhakshinamurthi Yogadeepan, Srinivasan Deepak
机构信息
Department of Orthopaedics, Dr. Muthus Super Speciality Orthopaedic Hospital, Singanallur, Coimbatore, Tamil Nadu, India.
出版信息
J Orthop Case Rep. 2024 Oct;14(10):90-95. doi: 10.13107/jocr.2024.v14.i10.4822.
INTRODUCTION
The incidence of ipsilateral neck of femur fracture with the shaft of femur going for non-union is not known. Management of this concomitant non-union can be a daunting task in terms of fixation strategy and its outcome.
CASE REPORT
In this article, we report a case of a 25-year-old male with ipsilateral neck of femur with shaft non-union. We have done open reduction and dual plating with bone grafting for the shaft of the femur followed by valgus subtrochanteric osteotomy with dynamic hip screw and impaction bone grafting for the neck of femur non-union.
CONCLUSION
The main principle in treating the neck of femur non-union is biomechanical correction of shear forces into compression forces by valgus correction and impaction bone grafting aids fracture healing. Dual plating with bone grafting gives optimal results in shaft non-union.
引言
同侧股骨颈骨折合并股骨干不愈合的发生率尚不清楚。就固定策略及其结果而言，处理这种合并的不愈合可能是一项艰巨的任务。
病例报告
在本文中，我们报告了一例25岁男性同侧股骨颈合并股骨干不愈合的病例。我们对股骨干进行了切开复位、双钢板内固定并植骨，随后对股骨颈不愈合进行了股骨转子下外翻截骨、动力髋螺钉固定及嵌压植骨术。
结论
治疗股骨颈不愈合的主要原则是通过外翻矫正将剪切力生物力学矫正为压缩力，嵌压植骨有助于骨折愈合。双钢板内固定并植骨对股骨干不愈合能取得最佳效果。
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