Hägglund G, Hannson L I, Sandström S
Clin Orthop Relat Res. 1987 Apr(217):190-200.
One hundred seventy-two patients with 204 slipped capital femoral epiphyses treated with nailing or pinning were evaluated an average of 28 years after surgery. Follow-up evaluation was obtained by questionnaire in 153 cases (181 hips) and by clinical and radiographic reexamination in 132 cases (157 hips). Segmental collapse was seen in four of 179 hips nailed/pinned in situ and in four of 25 hips operated after reduction. This was the only early complication associated with problems at reexamination. Arthrosis was twice as frequent after reduction (53%) than after fixation in situ (24%). The clinical and radiographic results were better than those from the same region after other methods of treatment. Nailing or pinning in situ is the method of choice when possible, regardless of the degree of slipping. Bilateral slipping was found in 67% of the hips; therefore, prophylactic pinning of the contralateral hip is indicated in cases with unilateral slipping.
对172例患有204个股骨头骨骺滑脱的患者进行了髓内钉或克氏针固定治疗，并在术后平均28年进行了评估。通过问卷调查对153例患者（181髋）进行了随访评估，通过临床和影像学复查对132例患者（157髋）进行了随访评估。在原位进行髓内钉/克氏针固定的179髋中有4髋出现节段性塌陷，在复位后手术的25髋中有4髋出现节段性塌陷。这是复查时唯一与问题相关的早期并发症。复位后关节病的发生率（53%）是原位固定后（24%）的两倍。临床和影像学结果优于同一地区采用其他治疗方法后的结果。只要有可能，原位髓内钉或克氏针固定是首选方法，无论滑脱程度如何。67%的髋发现双侧滑脱；因此，单侧滑脱病例建议对侧髋预防性固定。
