Aronson D D, Loder R T
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.
J Pediatr Orthop. 1992 Jan;12(1):74-9.
We reviewed 74 black children with 97 slipped capital femoral epiphyses (SCFEs) with an average follow-up of 3.7 years. There were 24 bilateral, 22 right, and 27 left SCFEs. The average age at operation was 12 years 6 months. The average slip severity was 28 degrees with 61 mild, 21 moderate, and 14 severe slips. Group I slips (54) were treated with multiple pins, and group II slips (43) were treated with a single central screw. Satisfactory results were achieved in 74% of the group I and 91% of the group II slips, with only three cases of chondrolysis. We conclude that single central screw fixation of SCFE in black children can lead to excellent results with a low incidence of chondrolysis.
我们回顾了74例患有97例股骨头骨骺滑脱（SCFE）的黑人儿童，平均随访3.7年。其中有24例双侧、22例右侧和27例左侧SCFE。手术时的平均年龄为12岁6个月。平均滑脱严重程度为28度，其中61例为轻度、21例为中度、14例为重度滑脱。I组滑脱（54例）采用多根钢针治疗，II组滑脱（43例）采用单根中心螺钉治疗。I组74%的滑脱和II组91%的滑脱取得了满意的结果，仅有3例出现软骨溶解。我们得出结论，黑人儿童SCFE采用单根中心螺钉固定可取得优异的效果，软骨溶解发生率低。
