Bloom M L, Crawford A H
Orthopedics. 1985 Jan;8(1):36-40. doi: 10.3928/0147-7447-19850101-06.
Fifty-five patients underwent operative treatment of slipped capital femoral epiphyses at Children's Hospital Medical Center in Cincinnati, Ohio, between January 1975 and April 1980. Charts and x-rays were available for review in 45 of these patients with 68 affected hips; the incidence of bilaterality was 51%. Sixty-five of the 68 hips were managed by pinning. Problems with pin placement were recognized in 15.4% of these hips. Three patients were treated by subtrochanteric osteotomy, without complications. Since May 1980, all patients treated on the University Service, Children's Hospital Medical Center for slipped capital femoral epiphysis have undergone open epiphysiodesis utilizing a cosmetic "bikini" incision. Twenty-two hips in 14 patients were so managed without significant complications. This should be considered the treatment of choice for slips involving change greater than 30 degrees in the head shaft angle.
1975年1月至1980年4月期间，俄亥俄州辛辛那提市儿童医院医疗中心对55例股骨头骨骺滑脱患者进行了手术治疗。其中45例患者（共68个患髋）的病历和X线片可供回顾性分析；双侧发病的发生率为51%。68个患髋中有65个采用了钢针固定治疗。在这些患髋中，有15.4%发现了钢针置入问题。3例患者接受了转子下截骨术，无并发症发生。自1980年5月以来，儿童医院医疗中心大学服务部治疗的所有股骨头骨骺滑脱患者均采用美观的“比基尼”切口进行开放性骨骺固定术。14例患者的22个患髋接受了这种治疗，无明显并发症。对于头干角变化大于30度的滑脱，应将其视为首选治疗方法。
