Nazirul-Mubin K, Nazri M Y, Ahmad-Fadzli S
Department of Orthopaedics, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Malaysia.
Malays Orthop J. 2024 Nov;18(3):75-79. doi: 10.5704/MOJ.2411.011.
Non-union refers to a disruption in the process of fracture repair, which can be identified through sequential clinical and radiographic assessments. The distinction between septic and aseptic non-union is essential because the treatment strategies are fundamentally different. Non-unions are most often treated surgically as it helps to provide both mechanical stability and good biological environment to promote bone healing. However, there is also the option of managing it conservatively by proper immobilisation using functional brace which is an alternative for surgical procedures and widely reported in tibia non-union cases. To date, there has been no reported case of femur non-union successfully treated with a functional brace. This case report details the success of treatment using a functional brace in a mentally disabled gentleman who sustained a femur non-union following a fracture related infection.
骨不连是指骨折修复过程中的中断，可通过连续的临床和影像学评估来确定。感染性骨不连和无菌性骨不连的区分至关重要，因为治疗策略根本不同。骨不连最常采用手术治疗，因为这有助于提供机械稳定性和良好的生物学环境以促进骨愈合。然而，也可以通过使用功能性支具进行适当固定来保守治疗，这是手术治疗的一种替代方法，在胫骨骨不连病例中有广泛报道。迄今为止，尚无使用功能性支具成功治疗股骨骨不连的报道。本病例报告详细介绍了一名患有精神残疾的男性，在骨折相关感染后发生股骨骨不连，使用功能性支具治疗成功的情况。
