Ward W T, Wood K
Children's Hospital of Pittsburgh, PA 15213.
J Pediatr Orthop. 1990 Jan-Feb;10(1):14-20.
Seventeen patients underwent open bone graft epiphyseodesis for slipped capital femoral epiphysis (SCFE); physeal fusion was achieved in 12 patients. Eight grafts either resorbed, moved, or fractured postoperatively (graft insufficiency). Graft insufficiency was statistically associated with failure of physeal fusion, (p = 0.009). Radiographic examination, using three different measurements, corroborated postoperative changes in femoral head position. One case of joint space narrowing and three cases of significant myositis ossificans occurred. Ten patients had anterolateral thigh hypesthesia. We conclude that fracture, movement, or resorption of a single bone graft is common, leading to an increase in slip severity and failure of physeal fusion.
17例患者因股骨头骨骺滑脱（SCFE）接受了开放性植骨骨骺阻滞术；12例患者实现了骨骺融合。8块移植骨术后出现吸收、移位或骨折（移植骨功能不全）。移植骨功能不全与骨骺融合失败在统计学上相关（p = 0.009）。使用三种不同测量方法的影像学检查证实了股骨头位置的术后变化。发生1例关节间隙变窄和3例明显的骨化性肌炎。10例患者出现大腿前外侧感觉减退。我们得出结论，单一骨移植的骨折、移位或吸收很常见，会导致滑脱严重程度增加和骨骺融合失败。
