Zahrawi F B, Stephens T L, Spencer G E, Clough J M
Clin Orthop Relat Res. 1983 Jul-Aug(177):160-8.
One hundred five patients were treated for slipped capital femoral epiphyses during the period from 1964 to 1976. Attempts were made to evaluate the differences in results of multiple pinning and open epiphysiodesis performed to treat this problem. Pinning in situ was performed in 61 hips, and open epiphysiodesis was performed in 33 hips. The average follow-up period was seven years four months for pinning in situ and six years seven months for open epiphysiodesis. The average slippage was 22 degrees for patients treated by pinning in situ and 30 degrees for patients treated by open epiphysiodesis. At follow-up evaluation 91.7% of the patients treated by pinning in situ had good or excellent results, as compared with 71.6% of the patients treated by epiphysiodesis. For the patients treated by pinning in situ, 5% had poor results, and 3.3% were considered failures. For the patients treated by epiphysiodesis, 3.4% had poor results, while 25% were considered failures. Pinning in situ is the treatment of choice. It is more predictable, has less complications, and provides better long-term results.
1964年至1976年期间，对105例股骨头骨骺滑脱患者进行了治疗。尝试评估采用多根针固定和开放性骨骺固定术治疗该问题的结果差异。61例髋关节采用原位固定，33例髋关节采用开放性骨骺固定术。原位固定的平均随访期为7年4个月，开放性骨骺固定术的平均随访期为6年7个月。原位固定治疗的患者平均滑脱角度为22度，开放性骨骺固定术治疗的患者平均滑脱角度为30度。在随访评估中，原位固定治疗的患者91.7%效果良好或极佳，而骨骺固定术治疗的患者这一比例为71.6%。原位固定治疗的患者中，5%效果较差，3.3%被视为治疗失败。骨骺固定术治疗的患者中，3.4%效果较差，25%被视为治疗失败。原位固定是首选治疗方法。它更可预测，并发症更少，且能提供更好的长期效果。
