Bara T, Zwierzchowska D
Katedry i Kliniki Ortopedii AM w Lodzi.
Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):359-63.
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.
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。