Slipped capital femoral epiphysis: Evaluation of different modes of treatment

被引：39

作者：

Rostoucher, P ^{[1
]}

Bensahel, H ^{[1
]}

Pennecot, GF ^{[1
]}

Kaewpornsawan, K ^{[1
]}

Mazda, K ^{[1
]}

机构：

[1] HOP ROBERT DEBRE,DEPT ORTHOPAED,F-75019 PARIS,FRANCE

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 1996年 / 5卷 / 02期

关键词：

contralateral fixation; in situ fixation; osteotomy; reduction; fixation; slipped epiphysis;

D O I：

10.1097/01202412-199605020-00008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：96 / 101

页数：6

共 23 条

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