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经转子旋转截骨术治疗股骨头骨骺滑脱后严重缺血性坏死。两例成功治疗并长期随访的结果

The management of severe avascular necrosis following slipped capital femoral epiphysis by transtrochanteric rotational osteotomy. Results of successful treatment in two cases with longterm follow-up.

作者信息

Cullen M C, Crawford A H

机构信息

Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.

出版信息

Iowa Orthop J. 1995;15:209-16.

PMID:7634035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2329051/
Abstract

We present two cases of unstable slipped capital femoral epiphysis complicated by avascular necrosis that were successfully treated with transtrochanteric anterior rotational osteotomy. These two cases both had severe avascular necrosis and were felt to be unsalvageable. We recommend this surgical technique as a viable alternative to other forms of treatment in this selected patient population.

摘要

我们报告两例不稳定型股骨头骨骺滑脱合并缺血性坏死的病例，经转子间前路旋转截骨术成功治疗。这两例均有严重的缺血性坏死，被认为无法挽救。我们推荐这种手术技术，作为该特定患者群体中其他治疗方式的可行替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/0582c1d84132/iowaorthj00019-0240-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/ea5f148baf91/iowaorthj00019-0235-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/d04cd873f8cd/iowaorthj00019-0236-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/6f843cc61b57/iowaorthj00019-0238-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/87440d06b574/iowaorthj00019-0239-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/8de1ca203cd0/iowaorthj00019-0239-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/0582c1d84132/iowaorthj00019-0240-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/ea5f148baf91/iowaorthj00019-0235-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/d04cd873f8cd/iowaorthj00019-0236-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/f27ab678e367/iowaorthj00019-0236-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/d7ae0670ddba/iowaorthj00019-0237-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/6f843cc61b57/iowaorthj00019-0238-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/87440d06b574/iowaorthj00019-0239-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/8de1ca203cd0/iowaorthj00019-0239-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c502/2329051/0582c1d84132/iowaorthj00019-0240-a.jpg

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The management of severe avascular necrosis following slipped capital femoral epiphysis by transtrochanteric rotational osteotomy. Results of successful treatment in two cases with longterm follow-up.经转子旋转截骨术治疗股骨头骨骺滑脱后严重缺血性坏死。两例成功治疗并长期随访的结果
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本文引用的文献

1
Slipping of the upper femoral epiphysis.
Clin Orthop. 1957;10:148-73.
2
The results of treatment of slipped femoral epiphysis.股骨骨骺滑脱的治疗结果。
J Bone Joint Surg Br. 1957 Nov;39-B(4):659-73. doi: 10.1302/0301-620X.39B4.659.
3
Long-term follow-up of patients with avascular necrosis after treatment of slipped capital femoral epiphysis.股骨头骨骺滑脱治疗后无血管性坏死患者的长期随访
J Pediatr Orthop. 1993 Mar-Apr;13(2):154-8.
4
A 30-year experience with bone graft epiphysiodesis in the treatment of slipped capital femoral epiphysis.骨移植骺板固定术治疗股骨头骨骺滑脱30年经验
J Pediatr Orthop. 1984 Mar;4(2):145-52. doi: 10.1097/01241398-198403000-00001.
5
Pinning of the slipped upper femoral epiphysis--a trouble-free procedure?
J Pediatr Orthop. 1985 Nov-Dec;5(6):657-60. doi: 10.1097/01241398-198511000-00005.
6
Slipped capital femoral epiphysis: an analysis of 80 patients as to pin placement and number.
J Pediatr Orthop. 1986 May-Jun;6(3):265-73. doi: 10.1097/01241398-198605000-00002.
7
Idiopathic chondrolysis of the hip: management by subtotal capsulectomy and aggressive rehabilitation.髋关节特发性软骨溶解症：通过次全关节囊切除术及积极康复治疗的处理方法
J Pediatr Orthop. 1988 Mar-Apr;8(2):203-7.
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Slipped upper femoral epiphysis: internal fixation using single central pins.
J Pediatr Orthop. 1989 May-Jun;9(3):304-7.
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Problems and complications of slipped capital femoral epiphysis.股骨头骨骺滑脱的问题与并发症
Instr Course Lect. 1989;38:281-90.
10
Slipped capital femoral epiphysis: rationale for the technique of percutaneous in situ fixation.股骨头骨骺滑脱：经皮原位固定技术的理论依据
J Pediatr Orthop. 1990 May-Jun;10(3):341-6. doi: 10.1097/01241398-199005000-00009.