Salvati E A, Robinson J H, O'Down T J
J Bone Joint Surg Am. 1980;62(4):561-70.
During an eight-year period, twenty-four Southwick osteotomies were performed in twenty-one patients with severe chronic slipped capital femoral epiphysis. After follow-ups ranging from two to ten years (average, four and one-half years), correction of the deformity had been maintained in all but one patient, who has loss of fixation of the osteotomy. One patient had joint-space narrowing, avascular necrosis of the femoral head, and significant restriction of motion which was still present three years after operation. We concluded that this osteotomy gives good correction of the deformity but is a major operative procedure that should be recommended only for severe, chronic slips. Preoperative loss of motion and joint-space narrowing are probably contraindications for the procedure, particularly in black patients.
在八年期间，对21例严重慢性股骨头骨骺滑脱患者实施了24次索思威克截骨术。经过两到十年（平均四年半）的随访，除1例截骨固定失败的患者外，所有患者的畸形均得到矫正。1例患者出现关节间隙变窄、股骨头缺血性坏死以及明显的活动受限，术后三年仍存在这些问题。我们得出结论，这种截骨术能很好地矫正畸形，但属于大型手术，仅应推荐用于严重的慢性滑脱。术前活动丧失和关节间隙变窄可能是该手术的禁忌证，尤其是在黑人患者中。
