Pazzaglia U E, Zatti G, Raimondi G B, Migliavacca M, Rolla P
Clinica Ortopedica e Traumatologia, II Facoltà dell'Università di Pavia.
Ital J Orthop Traumatol. 1992;18(2):199-206.
The authors review 26 patients who underwent either "in situ" extracapsular epiphysiodesis or intracapsular reduction followed by epiphysiodesis for slipped capital femoral epiphysis (SCFE). A total of 32 operations were performed. In the first group (chronic grade II SCFE), no complications occurred in the 16 operations and the results were excellent in all cases. In the second group (chronic grade II and III SCFE and acute-on-chronic SCFE), in 16 operations we observed four cases of avascular necrosis, two of which accompanied by chondrolysis. Three of these were in cases of acute-on-chronic SCFE. The results confirm that the cases of acute-on-chronic SCFE have the worst prognosis and a much higher risk of avascular necrosis and/or chondrolysis than purely chronic SCFE. Early diagnosis of ischemic complications make it possible to maintain the spherical shape of the femoral head and good joint function. The results are considerably better than in untreated cases.
作者回顾了26例接受“原位”囊外骨骺固定术或囊内复位后再行骨骺固定术治疗股骨头骨骺滑脱（SCFE）的患者。共进行了32次手术。在第一组（慢性II级SCFE）中，16次手术均未发生并发症，所有病例结果均为优秀。在第二组（慢性II级和III级SCFE以及慢性期急性发作的SCFE）中，16次手术中有4例发生了股骨头缺血性坏死，其中2例伴有软骨溶解。其中3例发生在慢性期急性发作的SCFE病例中。结果证实，慢性期急性发作的SCFE病例预后最差，与单纯慢性SCFE相比，发生股骨头缺血性坏死和/或软骨溶解的风险要高得多。对缺血性并发症的早期诊断使得维持股骨头的球形形状和良好的关节功能成为可能。结果明显优于未治疗的病例。
