Jensen H P, Steinke M S, Mikkelsen S S, Thomsen P B
Department of Orthopedics, Holstebro Central Hospital, Denmark.
Acta Orthop Scand. 1990 Oct;61(5):419-20. doi: 10.3109/17453679008993553.
The frequency of bilateral physiolysis colli femoris was evaluated in 62 patients. At first admission, 5 patients had a bilateral slipping. Further, 9 patients had slipping diagnosed in the contralateral hip during adolescence 1-3 years after the primary operation. At the follow-up examination 22 years after the primary operation, radiographs showed bilateral sequelae of slipping in 30 of 62 patients. Of the nine slips diagnosed later during adolescence, one showed mild and two severe arthrosis. Among the 16 slips diagnosed at follow-up, mild arthrosis was found in four hips. We recommend bilateral pinning at first admission in all patients with a slipped capital femoral epiphysis.
对62例患者双侧股骨骺滑脱的发生率进行了评估。初次入院时，5例患者存在双侧滑脱。此外，9例患者在初次手术后1至3年的青春期期间，对侧髋关节被诊断出发生滑脱。在初次手术后22年的随访检查中，X线片显示62例患者中有30例存在双侧滑脱后遗症。在青春期后期诊断出的9例滑脱中，1例显示轻度关节病，2例显示重度关节病。在随访时诊断出的16例滑脱中，4个股关节发现有轻度关节病。我们建议对所有股骨头骨骺滑脱的患者在初次入院时进行双侧固定。
