Hägglund G
Lund University, Department of Clinical Sciences, Orthopedics, 221 85 Lund, Sweden.
J Child Orthop. 2017 Apr;11(2):110-113. doi: 10.1302/1863-2548-11-170022.
To describe and comment on the treatment of the slipped capital femoral epiphysis (SCFE) with pinning and to present the pros and cons of prophylactic pinning of the contralateral hip.
Pinning the SCFE aims to fix the epiphysis and prevent further slipping. Some devices allow for further growth and remodeling of the femoral neck post-operatively. This results in maintained femoral offset and probably reduced risk of femoroacetabular impingement. There are currently no long-term follow-up studies showing less complications or better function than after fixation. The contralateral hip can be managed by prophylactic pinning or close follow-up with repeated radiographic examinations. Which of the methods is best is still controversial due to different opinions on the risk of bilateral SCFE, the consequences of a later contralateral slip and the risks of prophylactic pinning. Although research supports prophylactic pinning the child and the family's preference is crucial.
描述并评论采用钢针固定治疗股骨头骨骺滑脱（SCFE）的方法，并阐述对侧髋关节预防性钢针固定的利弊。
对SCFE进行钢针固定旨在固定骨骺并防止进一步滑脱。一些器械可使术后股骨颈进一步生长和重塑。这能维持股骨偏移，可能还会降低股骨髋臼撞击症的风险。目前尚无长期随访研究表明其并发症少于或功能优于固定术后。对侧髋关节可通过预防性钢针固定或反复进行影像学检查密切随访来处理。由于对于双侧SCFE的风险、对侧后期发生滑脱的后果以及预防性钢针固定的风险存在不同观点，哪种方法最佳仍存在争议。尽管研究支持预防性钢针固定，但患儿及其家庭的偏好至关重要。
