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[关于青少年股骨头骨骺滑脱中连接对侧股骨头与颈部的合理性的思考]

[Consideration of the legitimacy for connecting the opposite femoral head and neck in juvenile slipped capital femoral epiphysis].

作者信息

Bara T, Zwierzchowska D

机构信息

Katedry i Kliniki Ortopedii AM w Lodzi.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):359-63.

PMID:1369845
Abstract

Forty seven patients were treated because of slipping of the capital femoral epiphysis, in 23 patients (48.9%) both hips were involved. In one third of these cases both hips were diagnosed at the same time, in one third second hip was diagnosed from 6 to 24 months later, in one third only late diagnosis of juvenile symptom free--thus the late diagnosis. In 18 hips slipping was less than 30 degrees, in 5 hips more than 30 degrees. On the basis of authors own experience and review of literature the conclusion was made to fix with K--wires epiphysis of the opposite hip as a prophylaxis against slipping.

摘要

47例患者因股骨头骨骺滑脱接受治疗,其中23例(48.9%)双侧髋关节受累。在这些病例中,三分之一的患者双侧髋关节同时被诊断出,三分之一的患者在6至24个月后诊断出对侧髋关节受累,三分之一的患者仅在出现青少年无症状晚期症状时才被诊断出来——因此出现了延迟诊断。18例髋关节的滑脱小于30度,5例髋关节的滑脱大于30度。根据作者自身经验及文献回顾,得出结论:用克氏针固定对侧髋关节骨骺以预防滑脱。

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