Sponer P, Kucera T
Department of Orthopaedic Surgery, Charles University, Faculty of Medicine, University Hospital, Hradec Kralove, Czech Republic.
Bratisl Lek Listy. 2010;111(7):410-3.
Avascular necrosis is the most devastating complication associated with slipped capital femoral epiphysis. In this case report, we present the clinical and radiological outcome of two patients after proximal femoral osteotomy for avascular necrosis associated with slipped capital femoral epiphysis. The Iowa hip score was used to assess the function. Periodic radiographic observations showed no progression of the collapse, and bone remodelling of the necrotic femoral head. Our evaluation of patients who underwent proximal femoral osteotomy for avascular necrosis prior to collapse of the femoral head suggests that its use resulted in acceptable clinical outcome with bone remodelling of the necrotic area (Fig. 4, Ref. 16).
股骨头缺血性坏死是与股骨头骨骺滑脱相关的最具破坏性的并发症。在本病例报告中，我们展示了两名因股骨头骨骺滑脱相关的缺血性坏死接受股骨近端截骨术后的临床和放射学结果。采用爱荷华髋关节评分来评估功能。定期的影像学观察显示塌陷未进展，坏死股骨头出现骨重塑。我们对在股骨头塌陷前因缺血性坏死接受股骨近端截骨术的患者的评估表明，该手术方式带来了可接受的临床结果，坏死区域出现了骨重塑（图4，参考文献16）。
