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股骨头骨骺滑脱的骨骺阻滞术:多种手术方式的比较

Epiphysiodesis in slipped capital femoral epiphysis: a comparison of various surgical modalities.

作者信息

Irani R N, Rosenzweig A H, Cotler H B, Schwentker E P

出版信息

J Pediatr Orthop. 1985 Nov-Dec;5(6):661-4. doi: 10.1097/01241398-198511000-00006.

DOI:10.1097/01241398-198511000-00006
PMID:4066938
Abstract

This retrospective study surveys patients treated between 1960 and 1978 for slipped capital femoral epiphyses. The parameters reported are fusion time, blood replacement, hospitalization time, aseptic necrosis, cartilage necrosis, and complications. Twenty-eight hips (24 patients) were treated by pinning, and three hips (three patients) were treated by Smith-Petersen nails. The Heyman or Howorth bone pegging procedures were performed in 48 hips in 41 patients. The average fusion time was 9.4 months for hips treated with Knowles pins, 3.7 months for Hagie or Tachdjian pins, and 4.8 months for bone pegging procedures. Blood loss, hospitalization time, surgical scars, and duration of anesthesia were greater for the bone pegging procedures.

摘要

这项回顾性研究调查了1960年至1978年间接受治疗的股骨头骨骺滑脱患者。报告的参数包括融合时间、输血情况、住院时间、无菌性坏死、软骨坏死和并发症。28例髋关节(24例患者)采用钢针固定治疗,3例髋关节(3例患者)采用史密斯-彼得森钉治疗。41例患者的48例髋关节采用海曼或霍沃思骨栓固定术。使用诺尔斯钢针治疗的髋关节平均融合时间为9.4个月,使用哈吉或塔奇吉安钢针治疗的为3.7个月,骨栓固定术治疗的为4.8个月。骨栓固定术的失血量、住院时间、手术疤痕和麻醉持续时间更长。

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