Martin T, Fayad F
Rev Chir Orthop Reparatrice Appar Mot. 1986;72(8):587-98.
Eleven cases of slipped upper femoral epiphysis have been corrected and fixed, using Dunn's technique. Seven were chronic slips and four were acute slips with severe displacement. The children were aged between 11 and 15 years. The displacement was measured on lateral radiographs of the femoral neck and was type II in the acute cases and type III in chronic cases, ranging between 50 degrees and the maximum possible displacement. Acute cases were operated on between 2 and 15 days following the onset of the condition, and chronic cases were operated on between 2 and 14 months following the onset of the condition. Three acute cases were not reduced by closed methods, once because of the delay of 15 days and twice because of a deformity of the neck. In the fourth acute case closed reduction was insufficient. The follow-up was between 3 months and 10 years. There was one case of sepsis and one chondrolysis.
采用邓恩技术对11例股骨头骨骺滑脱病例进行了矫正和固定。其中7例为慢性滑脱，4例为急性滑脱伴严重移位。患儿年龄在11至15岁之间。通过股骨颈侧位X线片测量移位情况，急性病例为II型，慢性病例为III型，移位角度在50度至最大可能移位角度之间。急性病例在发病后2至15天内接受手术，慢性病例在发病后2至14个月内接受手术。3例急性病例采用闭合方法未能复位，1例是因为延误了15天，2例是因为颈部畸形。第4例急性病例闭合复位不充分。随访时间为3个月至10年。发生了1例脓毒症和1例软骨溶解。
