采用闭合复位和经皮固定治疗急性不稳定外翻型股骨头骨骺滑脱：一例报告
Capital Femoral Epiphysis with Acute Unstable Valgus Type Slip Managed with Closed Reduction and Percutaneous Fixation: A Case Report.
作者信息
Cheok Tim, Jennings Matthew, Berman Morgan, Williams Kanishka, Rawat Jaideep Singh, Foster Bruce K
机构信息
Department of Trauma and Orthopaedics, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
Department of Orthopaedic Surgery, Palmerston North Hospital, Palmerston North, New Zealand.
出版信息
Orthop Res Rev. 2023 Nov 4;15:207-213. doi: 10.2147/ORR.S429844. eCollection 2023.
CASE
We present a case of acute unstable valgus slipped capital femoral epiphysis (SCFE) in an 8-year-old female who presented after a trip and fall. The patient was managed with emergent closed reduction and percutaneous screw fixation and prophylactic fixation of contralateral side after 6 weeks. At 18-month follow-up, the patient was symptom free with a good range of movement and no evidence of slip progression, chondrolysis or avascular necrosis of the femoral head.
CONCLUSION
We demonstrate that, in this case, closed reduction and percutaneous fixation provided satisfactory outcome at 18-month follow-up. This case highlights the need for both anteroposterior and lateral radiographs.
病例
我们报告一例8岁女性急性不稳定型外翻型股骨头骨骺滑脱（SCFE）病例，该患者因绊倒后前来就诊。患者接受了急诊闭合复位及经皮螺钉固定治疗，并在6周后对侧进行了预防性固定。在18个月的随访中，患者无症状，活动范围良好，无股骨头骨骺滑脱进展、软骨溶解或缺血性坏死的迹象。
结论
我们证明，在该病例中，闭合复位及经皮固定在18个月的随访中取得了满意的结果。该病例强调了前后位和侧位X线片的必要性。
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