Rostoucher P, Bensahel H, Pennecot G F, Kaewpornsawan K, Mazda K
Department of Orthopaedics, Hôpital Robert Debré, Paris, France.
J Pediatr Orthop B. 1996 Spring;5(2):96-101. doi: 10.1097/01202412-199605020-00008.
We reviewed 91 hips with slipped capital femoral epiphysis (SCFE) after an average follow-up period of 6 years 6 months. Different treatment methods used, according to types and stages of slipping, are discussed. In situ fixation appears to be the best procedure for SCFE with < 60% displacement. Careful reduction-fixation is indicated in acute and acute-on-chronic SCFE > 60%. Primary rotation osteotomies are associated with a high percentage of complications. Secondary osteotomies should be simple (preferably a subtrochanteric derotation osteotomy) to reduce the risk of necrosis. Preventive contralateral fixation is indicated when the growth cartilage is still open.
我们回顾了91例股骨头骨骺滑脱（SCFE）病例，平均随访时间为6年6个月。根据滑脱的类型和阶段，讨论了所采用的不同治疗方法。对于移位小于60%的SCFE，原位固定似乎是最佳手术方法。对于急性及慢性期移位大于60%的SCFE，需谨慎进行复位固定。一期旋转截骨术的并发症发生率较高。二期截骨术应简单（最好是转子下旋转截骨术）以降低坏死风险。当生长软骨仍开放时，建议进行预防性对侧固定。
