股骨头骨骺滑脱8例治疗体会

Treatment of Slipped Capital Femoral Epiphysis

复习８例股骨头骨骺滑脱（ＳＣＦＥ）病例的临床资料和手术方法，评价其临床治疗效果。８例ＳＣＦＥ中５例为典型发病年龄，３例为非典型发病年龄。其中急性滑脱２例，慢性滑脱１例，慢性基础上急性滑脱５例。滑脱程度Ⅰ度１例、Ⅱ度５例、Ⅲ度２例。治疗方法：切开复位三棱针固定１例，牵引复位穿针内固定４例，持续牵引治疗２例，粗隆下截骨１例。６例牵引后，３例完全复位，３例基本复位。随平均２年。从５例慢性基础上急性滑脱与１例急性滑脱牵引逐渐内旋复位的结果上看，复位是可能的。复位后４例穿３根克氏针内固定，２例持续牵引治疗。该治疗方法没有明显的并发症，因此临床应用是安全可靠的。本组典型的股骨头骨骺滑脱５例都发生在超重肥胖儿童。对早期稍跛、外旋步态者应给予充分重视。

Eight cases of slipped capital femoral epiphysis(SCFE)were reviewed,The onset was at vulnerable age in 5 cases,and nonvulnerable age in 3.Among them,2 were acute type, 1 chronic and 5 acuteon-chronic,Displacement of the femoral neck by grade 1 was found in one case,Grade Ⅱ in 5 and Grade Ⅲ in 2.Open reduction and internal fixation with trifin pin were porformed on 1 case;trifin nailing after traction on 4; continuous traction on 2;and subtrochanteric osteotomy on 1.Among the 6 cases,of traction,total reduction was obtained in 3 and su btotal reduction in 3,The average period of follow-up was 2 years.The results in 5 cases of acute-on-chronic type and 1 case of acute type showed that a total reduction was possible. No obvious complication was found.5 cases with typical SCFE were over-weight fatty children. All attention should be paid to those with early lamping and external rotation gait.