Little D G, Nigo L, Aiona M D
Shriners Hospital for Crippled Children, Portland, OR 97201, USA.
J Pediatr Orthop. 1996 Mar-Apr;16(2):173-9. doi: 10.1097/00004694-199603000-00007.
A review of 71 epiphysiodeses with adequate orthoroentgenographic and skeletal-age data was carried out to compare the accuracy of predicting outcome among the methods of Anderson and Green, Menelaus, and Moseley. Differing the methodology did not have a meaningful effect on their similar but limited accuracy. We advocate the use of the Menelaus method, which is simple and based on chronologic age, as it proved as accurate as any other method. The routine use of serial Gruelich and Pyle skeletal-age data could not be shown to increase the accuracy in predicting outcome over serial chronologic-age data, and thus its value in limb-length inequality is limited. Regardless of the method used, unpredictable results occur in a proportion of patients. The patient and parents should be advised of this when planning strategies for limb-length discrepancy.
对71例有足够的正位X线片和骨骼年龄数据的骨骺阻滞术进行了回顾，以比较安德森和格林法、梅纳劳斯法和莫斯利法在预测结果方面的准确性。不同的方法对它们相似但有限的准确性没有显著影响。我们提倡使用梅纳劳斯法，该方法简单且基于实际年龄，因为它已被证明与其他任何方法一样准确。与连续实际年龄数据相比，常规使用格鲁利克和派尔连续骨骼年龄数据并不能提高预测结果的准确性，因此其在肢体长度不等方面的价值有限。无论使用何种方法，一定比例的患者会出现不可预测的结果。在制定肢体长度差异的治疗策略时，应告知患者及其家长这一点。
