Nonweiler B, Hoffer M, Weinert C, Rosenfeld S
Department of Orthopaedic Surgery, University of California Irvine, Los Angeles, USA.
J Pediatr Orthop. 1996 Jan-Feb;16(1):56-60. doi: 10.1097/00004694-199601000-00011.
Twenty-six patients with 34 slipped capital femoral epiphyses were treated by percutaneous in situ pinning with two 5/32-inch threaded Steinmann pins. Twenty-three patients with 31 hips were followed-up until the time of epiphyseal closure and pin removal. The average time to closure was 8.5 months (range, 3-25). The average operative time for pinning was 53 min (range, 18-115). The average operative time for pin removal was 42 min (range, 12-132). Complications included two progressive slips, two poorly placed pins, one pin breakage during removal, and one case of capital necrosis. This technique is a quick, efficient means of stabilizing the slipped capital femoral epiphysis, with case of hardware removal.
26例患有34个股骨头骨骺滑脱的患者接受了经皮原位用两根5/32英寸螺纹斯氏针固定治疗。23例患有31个髋关节的患者随访至骨骺闭合和取出钢针之时。闭合的平均时间为8.5个月（范围3 - 25个月）。固定钢针的平均手术时间为53分钟（范围18 - 115分钟）。取出钢针的平均手术时间为42分钟（范围12 - 132分钟）。并发症包括2例病情进展性滑脱、2例钢针位置不佳、1例取出时钢针断裂以及1例股骨头坏死。该技术是稳定股骨头骨骺滑脱的一种快速、有效的方法，且便于取出内固定物。
