Ordeberg G, Hansson L I, Sandström S
Clin Orthop Relat Res. 1987 Jul(220):148-54.
Seventy-two patients treated with closed reduction and hip spica for slipped capital femoral epiphysis (physiolysis colli femoris; PCF) were evaluated by questionnaire 25 to 66 years after primary treatment. Fifty-seven cases were examined with the use of clinical and radiographic methods. Pain and restricted hip function were obvious in most patients. In 25 of 72, an operation had been done in adult life for coxarthrosis. In a previously investigated group of PCF patients not actively treated, only two of 49 had had surgical treatment of coxarthrosis. Thus the results of closed reduction and hip spica are unfavorable, compared with those of nontreated cases. The results suggest a harmful influence of both reduction and hip spica.
对72例采用闭合复位及髋人字石膏治疗股骨头骨骺滑脱（股骨颈生理性溶解；PCF）的患者，在初次治疗后25至66年通过问卷调查进行评估。其中57例采用临床和影像学方法进行检查。大多数患者存在疼痛和髋关节功能受限。72例中有25例在成年后因髋关节病接受了手术。在先前一组未经积极治疗的PCF患者中，49例中只有2例接受了髋关节病的手术治疗。因此，与未治疗的病例相比，闭合复位及髋人字石膏治疗的结果不佳。结果提示复位和髋人字石膏均有不良影响。
