Baksi D P
J Bone Joint Surg Br. 1986 Mar;68(2):239-45. doi: 10.1302/0301-620X.68B2.3958010.
Fifty-six patients with ununited intracapsular fractures of the femoral neck were treated by internal fixation and muscle-pedicle bone grafting. All had some absorption of the femoral neck, and many had avascular necrosis of the femoral head. At operation the sclerosed surfaces of the fractures were freshened, the avascular femoral head was decompressed and the muscle-pedicle graft was fixed with silk thread wrapped around pins. Satisfactory union occurred in 42 patients (75%), and delayed union in seven, of whom four (7%) eventually united without further treatment and three united after osteotomy. Non-union occurred in five patients and technical failure in two.
56例股骨颈囊内骨折不愈合患者接受了内固定和带肌蒂骨移植治疗。所有患者均有一定程度的股骨颈吸收，许多患者还伴有股骨头缺血性坏死。手术时，将骨折处硬化的表面处理新鲜，对缺血的股骨头进行减压，并将带肌蒂骨移植块用丝线缠绕在钢针上固定。42例患者（75%）获得满意愈合，7例延迟愈合，其中4例（7%）未进一步治疗最终愈合，3例在截骨术后愈合。5例患者出现骨不连，2例出现技术失败。
