Castro F P, Bennett J T, Doulens K
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
J Pediatr Orthop. 2000 Nov-Dec;20(6):745-8. doi: 10.1097/00004694-200011000-00009.
The purpose of this review was to determine whether the literature supports in situ prophylactic pinning of the hip contralateral to a hip with a slipped capital femoral epiphysis (SCFE). Three hundred twenty-five articles on SCFE between 1931 and 1998 were reviewed. Two hundred six studies were used to establish normative data. Patients with a unilateral SCFE were 2,335 times more likely to develop a SCFE in the contralateral hip when compared to children in the general population experiencing an initial SCFE. Because a majority of these sequential SCFEs were detected and treated early, we concluded that close follow-up and not prophylactic pinning was most supported by the literature.
本综述的目的是确定文献是否支持对患有股骨头骨骺滑脱（SCFE）的一侧髋关节的对侧髋关节进行原位预防性固定。回顾了1931年至1998年间关于SCFE的225篇文章。206项研究用于建立标准数据。与普通人群中初次发生SCFE的儿童相比，单侧SCFE患者对侧髋关节发生SCFE的可能性要高2335倍。由于这些相继发生的SCFE大多被早期发现并得到治疗，我们得出结论，文献最支持密切随访而非预防性固定。
