[股骨颈骨骺滑脱内固定术的长期疗效]

[Long-term results of pinning for slipped capital femoral epiphysis].

作者信息

Strzyzewski Wojciech, Kałowski Kamil, Pucher Andrzej, Kesa Przemysław

机构信息

Katedra i Klinika Ortopedii, Akademia Medyczna im. Karola Marcinkowskiego w Poznaniu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2005;70(1):39-43.

PMID:16021822

Abstract

Clinical and radiological analysis of 39 hips in 32 patients treated with in situ pinning for light and non-severe (up to 78 degrees) slipped capital femoral epiphysis. The population of 21 boys and 11 girls aged 10-16 (av. 13.1) was observed in 4-27 (av. 21) years. The observation showed 18.8% very good, 18.8% good, 46.8% satisfactory, 12.5% bad results and 3.1% (1 patient) of unsuccessful treatment, according to Heyman & Herndon clinical evaluation scale. Radiological evaluation of secondary coxarthritis acc. to Boyer: 0 - 35.,8%, I - 23.1%, II - 33.4%, III - 7.7%. Slipped upper femoral epiphysis causes secondary coxarthritis. Kirschner wire pinning is good method for non-severe cases.

摘要

对32例患者的39髋采用原位穿针治疗轻度和非重度（高达78度）股骨头骨骺滑脱的临床和放射学分析。观察了21名男孩和11名女孩，年龄在10 - 16岁（平均13.1岁），观察时间为4 - 27年（平均21年）。根据海曼和赫恩登临床评估量表，观察结果显示：18.8%为非常好，18.8%为好，46.8%为满意，12.5%为差，3.1%（1例患者）治疗失败。根据博耶对继发性髋关节炎的放射学评估：0级 - 35.8%，Ⅰ级 - 23.1%，Ⅱ级 - 33.4%，Ⅲ级 - 7.7%。股骨头骨骺滑脱会导致继发性髋关节炎。克氏针固定是治疗非重度病例的好方法。