{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:56:43Z","timestamp":1792429003769,"version":"4.5.0"},"reference-count":60,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,3]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Nonunion is the third most common complication of femoral neck fractures in children after osteonecrosis and premature physeal closure causing coxa vara.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The most common cause of nonunion of a femoral neck fracture in developed countries is failure of fixation or loss of reduction, whereas in developing countries, it is delayed presentation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Most failures of fixation, if identified in time (&lt;3 months), retain adequate bone contact. Hence, removal of the offending implant, refixation without bone-grafting, and valgus osteotomy to correct the biomechanical forces by converting the vertical fracture line into a horizontal fracture line provide adequate results with respect to osseous union.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 In patients with a delayed presentation, the intervening fibrous tissue and resorption of the neck pose challenges. In these patients, in addition to performing a valgus osteotomy and fixation, in situ stabilization across the fibrous tissue and reconstruction of the inferomedial aspect of the neck using fibular strut-grafting, which adds stability, bone contact, and biological material, provide adequate union.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.19.01117","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T18:44:28Z","timestamp":1586285068000},"page":"1000-1010","source":"Crossref","is-referenced-by-count":14,"title":["Nonunion in Pediatric Femoral Neck Fractures"],"prefix":"10.2106","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2217-2976","authenticated-orcid":false,"given":"Sahil","family":"Sanghavi","sequence":"first","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8821-9730","authenticated-orcid":false,"given":"Sandeep","family":"Patwardhan","sequence":"additional","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4022-0214","authenticated-orcid":false,"given":"Ashok","family":"Shyam","sequence":"additional","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3062-6712","authenticated-orcid":false,"given":"Taral","family":"Nagda","sequence":"additional","affiliation":[{"name":"SRCC NH Children\u2019s Hospital, Jupiter Hospital, and PD Hinduja National Hospital, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5524-1678","authenticated-orcid":false,"given":"Premal","family":"Naik","sequence":"additional","affiliation":[{"name":"Smt. 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