Reichwein F, Hövel M, Müller R T
Orthopädische Klinik und Poliklinik, Universität-Gesamthochschule Essen.
Unfallchirurg. 2000 Oct;103(10):820-5. doi: 10.1007/s001130050627.
Which consequences can be ascribed to the intraarticular position of devices in the operative treatment of a slipped capital femoral epiphysis? Which steps are to define as a standard of a careful procedure? The clinical and radiological results of five cases of a pin or nail penetration after the operative treatment of a slipped capital femoral epiphysis are described, a possible connection of casualties is investigated. The intraarticular position of devices in most cases goes along with an unfortunate clinical outcome and leads to a higher risk of developing chondrolysis. Because of the radiologic overprojection with the femoral head it is possible to oversee the malposition of the pin. Any operative treatment of a slipped capital femoral epiphysis requires a careful intraoperative X-ray examination combined with documentation. With this procedure the bad results of an intraarticular implant position must be ascribed to the reminding risk of a fateful development.
在股骨头骨骺滑脱的手术治疗中，装置的关节内位置会导致哪些后果？哪些步骤应被定义为谨慎操作的标准？本文描述了5例股骨头骨骺滑脱手术治疗后出现钢针或钉子穿透的临床和放射学结果，并调查了可能的因果关系。在大多数情况下，装置的关节内位置会伴随不良的临床结果，并导致发生软骨溶解的风险更高。由于股骨头的放射学过度投影，可能会忽略钢针的位置不当。任何股骨头骨骺滑脱的手术治疗都需要在术中进行仔细的X线检查并记录。通过这种操作，关节内植入物位置的不良结果必须归因于仍存在的严重发展风险。
