The management of avascular necrosis after slipped capital femoral epiphysis
The management of avascular necrosis after slipped capital femoral epiphysis
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DOI：
10.1302/0301-620x.87b12.16665
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发表时间：
2005-12-01
影响因子：
--
通讯作者：
Catterall, A
中科院分区：
文献类型：
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作者：
Mullins, MM;Sood, M;Catterall, A
股骨头缺血性坏死是股骨头骨骺滑脱的严重并发症，治疗困难，据报道其发生率为3%~ 47%。治疗的目的是保持髋关节的活动范围，防止股骨头塌陷。目前，没有明确的指导方针，这种情况下的管理和治疗可能是困难和unrewarding.We使用检查下的麻醉和动态关节造影，以调查缺血性坏死，并确定适当的治疗方法。我们提出了20例连续的缺血性坏死的患者提出了滑动的资本股骨头骨骺，并描述了治疗的结果，平均随访超过8年（71至121个月）。在适合保留关节的患者中（14），我们报告髋关节的10年存活率为75%，平均Harris髋关节评分为82（44 - 98）。
Avascular necrosis is a serious complication of slipped capital femoral epiphysis and is difficult to treat. The reported incidence varies from 3% to 47% of patients. The aims of treatment are to maintain the range of movement of the hip and to prevent collapse of the femoral head. At present there are no clear guidelines for the management of this condition and treatment can be difficult and unrewarding.We have used examination under anaesthesia and dynamic arthrography to investigate avascular necrosis and to determine the appropriate method of treatment. We present 20 consecutive cases of avascular necrosis in patients presenting with slipped capital femoral epiphysis and describe the results of treatment with a mean follow-up of over eight years (71 to 121 months). In patients who were suitable for joint preservation (14), we report a ten-year survivorship of the hip joint of 75% and a mean Harris hip score of 82 (44 to 98).