Weinstein S L, Dolan L A
Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, Iowa, USA.
J Child Orthop. 2018 Aug 1;12(4):331-341. doi: 10.1302/1863-2548.12.180070.
Proximal femoral growth disturbance (PFGD) can be the most devastating complication of the treatment of development dysplasia of the hip. The reported incidence ranges from 0% to 73%. The condition involves varying degrees of growth disturbances of the femoral capital epiphysis, the physeal plate or both.
This manuscript will discuss normal growth and development of the hip, the blood supply to the upper end of the femur, pathological and radiographic changes, classifications used to describe PFGD and, most importantly, the potential causes of these growth disturbances and the authors' strategies for avoiding PFGD.
股骨近端生长紊乱（PFGD）可能是发育性髋关节发育不良治疗中最具破坏性的并发症。报道的发病率范围为0%至73%。该病症涉及股骨头骨骺、生长板或两者不同程度的生长紊乱。
本文将讨论髋关节的正常生长发育、股骨上端的血液供应、病理和影像学变化、用于描述PFGD的分类，以及最重要的是，这些生长紊乱的潜在原因和作者避免PFGD的策略。
