Wellings Elizabeth P, Blair James A
From the Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL (Wellings), and the Department of Orthopedic Surgery, Emory University at Grady Memorial Hospital, Atlanta, GA (Blair).
J Am Acad Orthop Surg. 2025 Jun 20. doi: 10.5435/JAAOS-D-24-01391.
Despite the high union rate of femoral shaft fractures treated with intramedullary nailing (90% to 100%), the annual incidence of femoral shaft nonunion ranges from 2% to 6%. Although less common than tibial nonunions, femoral shaft nonunions remain a clinical problem in orthopaedic surgery. Proper treatment begins with appropriate diagnosis, workup, and identification of risk factors followed by a multidisciplinary approach to treatment. This article provides current evidence-based guidance for providers on the diagnosis and management of femoral shaft nonunions.
尽管采用髓内钉治疗股骨干骨折的愈合率很高（90%至100%），但股骨干骨不连的年发生率仍在2%至6%之间。虽然股骨干骨不连比胫骨干骨不连少见，但仍是骨科手术中的一个临床问题。恰当的治疗始于准确的诊断、检查以及危险因素的识别，随后采用多学科治疗方法。本文为医疗人员提供了关于股骨干骨不连诊断和管理的当前循证指南。
