De Jong Andy, van Riet Roger, Van Melkebeek Jan
Department of Orthopaedics and Traumatology, Monica Orthopaedic Research (MoRe) Foundation, Monica Hospital, Antwerp, Belgium.
Acta Orthop Belg. 2012 Apr;78(2):271-4.
Slipped capital femoral epiphysis (SCFE) is considered to be one of the most common disorders of the hip in children and adolescents. If left untreated, it may lead to progressive deformity, pain and decreased range of motion, and predisposes to early onset degenerative arthritis. Surgical treatment is advised, with in situ pinning across the physis being the gold standard for stable slips. Closed or open reduction can be considered in unstable or severe types. We report the arthroscopically assisted reduction of an unstable severe SCFE, followed by canulated screw fixation. A follow-up of 2.5 years shows an excellent clinical and acceptable radiological outcome. Our case demonstrates that arthroscopically assisted reduction of a slipped capital femoral epiphysis is feasible. Although the technique is technically challenging and requires familiarity with arthroscopy of the hip, it has some clear benefits as compared with both closed and open reduction techniques. Arthroscopically assisted reduction may therefore be a safe and effective treatment in unstable, severe SCFE.
股骨头骨骺滑脱（SCFE）被认为是儿童和青少年中最常见的髋关节疾病之一。如果不进行治疗，它可能会导致进行性畸形、疼痛和活动范围减小，并易引发早发性退行性关节炎。建议进行手术治疗，经骨骺原位穿针固定是稳定滑脱的金标准。对于不稳定或严重类型，可考虑闭合或切开复位。我们报告了一例通过关节镜辅助复位不稳定严重SCFE，随后进行空心螺钉固定的病例。2.5年的随访显示出良好的临床效果和可接受的放射学结果。我们的病例表明，关节镜辅助复位股骨头骨骺滑脱是可行的。尽管该技术在技术上具有挑战性，并且需要熟悉髋关节镜检查，但与闭合和切开复位技术相比，它具有一些明显的优势。因此，关节镜辅助复位可能是不稳定、严重SCFE的一种安全有效的治疗方法。
