Slavković Nemanja, Vukasinović Zoran, Slavković Slobodan
Srp Arh Celok Lek. 2007 Jan-Feb;135(1-2):54-60. doi: 10.2298/sarh0702054s.
The acute slipped capital femoral epiphysis can result in development of avascular necrosis of the femoral head which is very difficult condition to treat. Orthopedic surgeon can influence the development of avascular necrosis.
The main objective in our study was to identify factors influencing the development of avascular necrosis in nonoperative treated patients for the acute slipped capital femoral epiphysis.
A total of 53 patients and 59 hips treated for the acute slipped capital femoral epiphysis at the Institute for Orthopedic Surgery,Banjica" between 1968-2004 were studied. Necessary data were obtained from the accurate medical records.
Avascular necrosis of the femoral head was diagnosed in 8 patients (13.56%). Six of them (75%) were treated by manipulative reduction in general anesthesia and spica cast immobilization. Fischer test, used for statistical data processing, found significant difference between two non-operative methods of treatment (p = 0.0008).
Higher-degree epihyseal displacement as well as complete separation of the physis and metaphysis were found to be the risk factors of avascular necrosis. Every manipulation with the affected hip was also associated with higher percentage of avascular necrosis of the femoral head.
急性股骨头骨骺滑脱可导致股骨头缺血性坏死，这是一种极难治疗的病症。骨科医生可对缺血性坏死的发展产生影响。
我们研究的主要目的是确定影响急性股骨头骨骺滑脱非手术治疗患者缺血性坏死发展的因素。
对1968年至2004年间在“班吉察”骨科研究所接受急性股骨头骨骺滑脱治疗的53例患者和59个髋关节进行了研究。从准确的病历中获取必要数据。
8例患者（13.56%）被诊断为股骨头缺血性坏死。其中6例（75%）接受了全身麻醉下的手法复位和髋人字石膏固定治疗。用于统计数据处理的费舍尔检验发现两种非手术治疗方法之间存在显著差异（p = 0.0008）。
较高程度的骨骺移位以及骨骺与干骺端的完全分离被发现是缺血性坏死的危险因素。对患髋的每一次手法操作也与较高比例的股骨头缺血性坏死相关。
