Schulitz K P, Hamacher P, Spier F
Z Orthop Ihre Grenzgeb. 1977 Apr;115(2):133-45.
Indications and results of 324 grafted or nailed slipped epiphyses, 45 Imhäuser operations and 7 Wiberg osteotomies are analyzed. Fixation in situ gave relatively good long-term results in spite of major displacement. Indication for correction should be based less on pre-arthrotic deformity than on clinical considerations. Deformity does not always correspond to development of arthrosis, but is determined in parts by dystrophy of cartilage. Results of Imhäuser's osteotomy are assessed mainly in terms of joint-function, their indications follow his guidelines. Prophylactic nailing and open reduction are discussed.
分析了324例骨骺滑脱采用植骨或穿针固定、45例因赫塞尔氏手术及7例维伯格截骨术的适应症及结果。尽管存在严重移位,但原位固定仍取得了相对良好的长期效果。矫正适应症应更多基于临床考虑,而非关节病变前期的畸形。畸形并不总是与关节病的发展相对应,部分由软骨营养不良决定。因赫塞尔氏截骨术的结果主要根据关节功能评估,其适应症遵循他的指导原则。文中还讨论了预防性穿针固定及切开复位。