Ballmer P M, Gilg M, Aebi B, Ganz R
Universitätsklinik für Orthopädische Chirurgie, Inselspital, Bern.
Z Orthop Ihre Grenzgeb. 1990 Jan-Feb;128(1):63-6. doi: 10.1055/s-2008-1039863.
63 slipped capital femoral epiphysis were treated either by a femoral neck osteotomy or by an intertrochanteric osteotomy. In almost all cases a normal anatomical relationship of the proximal capital femoral epiphysis to the neck of the femur was achieved. At an average follow-up of 10 years (2 to 19 years) 90% were rated good to excellent clinically. In 33 hips with a follow-up period of more than 10 years mild degenerative arthritis was present in 36%. Slipping of 60 degrees or less is best treated by an intertrochanteric osteotomy to avoid the higher complication rate in the femoral neck osteotomy.
63例股骨头骨骺滑脱患者接受了股骨颈截骨术或转子间截骨术治疗。几乎所有病例中，股骨头近端骨骺与股骨颈均恢复了正常的解剖关系。平均随访10年（2至19年），90%的患者临床评定为良好至优秀。在随访期超过10年的33髋中，36%出现了轻度退行性关节炎。60度或以下的滑脱最好采用转子间截骨术治疗，以避免股骨颈截骨术较高的并发症发生率。
