查詢結果分析
來源資料
頁籤選單縮合
題 名 | Premature Closure of the Physeal Plate after Treatment of a Slipped Capital Femoral Epiphysis=股骨頭骨骺滑脫症治療後之生長板早期癒合 |
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作 者 | 陳金恩; 郭繼陽; 王清貞; | 書刊名 | 長庚醫學 |
卷 期 | 25:12 2002.12[民91.12] |
頁 次 | 頁811-818 |
分類號 | 416.26 |
關鍵詞 | 骨股頭骨骺滑脫症; 生長板癒合; Slipped capital femoral epiphysis; SCFE; Physeal plate closure; |
語 文 | 英文(English) |
中文摘要 | 背景:股骨頭骨?滑脫症的治療是固定股骨頭骨?,避免其進一步的滑脫以避免合併症的發生,但嘗試使生長板癒合則仍有所爭議。這篇文章研究的目的是評估我們對此種疾病治療的臨床結果,以及評估其治療後的合併症。 方法:從1989至2000年,12位病人共14個髖關節接受手術治療。其中有2個急性骨脫,10個慢性滑脫及2個急性在慢性滑脫(acute-on-chronic)。對於急性及急性在慢性滑脫,嘗試以閉鎖復位再以鋼釘固定;慢性滑脫則原位固定。手術後定期追蹤,平均追蹤時間為63個月。 結果:在臨床的評估中,9個髖關節有良好的結果,5個髖關節有尚可的結果。一個股骨頭發生缺血性壞死,但沒有病人發生軟骨溶解或骨關節炎。其中9個髖關節有生長板早期癒合的情形,平均癒合時間為16個月。而關節粗隆距離的改變平均為5.4公釐。 結論:雖然生長板早期癒合並沒有影響到臨床的結果,但為了避免生長板早期癒合或許可採用動力性鋼釘固定。至於生長板早期癒合造成的髖關節變形會造成什麼影響,則仍需要更長期的追蹤。 |
英文摘要 | Background: Treatment of a slipped capital femoral epiphysis (SCFE) should stabilize the epiphysis and prevent complications. Attempting to obtain physeal closure is still controversial. The purpose of this study was to evaluate the clinical results and complications after treatment of SCFE. Methods: From 1989 to 2000, 12 patients (14 hips) underwent pinning for treatment of SCFE. For acute and acute-on-chronic slippage, longitudinal traction was attempted for reduction. Patients with chronic slippage received fixation in situ. All patients were available for follow-up for an average of 63 months. Results: Nine of the 14 hips and excellent or good functional results, and 5 had fair results. One hip developed avascular necrosis of the femoral head with a fair result. There was no chondrolysis or osteoarthritis of the joint at the most recent follow-up. Physeal closure in 9 hips occurred at an average of 16 months. The change in articulotrochanteric distance averaged 5.4 mm. Conclusion: Although most functional results were not adversely influenced after premature closure of the physeal plate of consideration should be given to the device, such as a dynamic screw, that stabilizes the epiphysis and prevents premature physeal closure in patients who have significant growth potential. To understand the influence of growth disturbance of the proximal femur and the effect of dynamic screw fixation, long-term follow-up is mandatory. |
本系統中英文摘要資訊取自各篇刊載內容。