WANG En-bo,WANG Kang,ZHANG Li-jun,et al.Bone traction in the treatment of slipped capttal femoral epiphysis in adolescent.[J].Journal of Clinical Pediatric Surgery,,9():0.
Bone traction in the treatment of slipped capttal femoral epiphysis in adolescent.
- Keywords:
- Adolescent; Skeletal Tractingreposition; Femur Head; Epiphyses; Therapy
- Abstract:
- Objective To evaluate the function of bone traction in the treatment of slipped capital femoral epiphysis(SCFE) in adolescent. Methods 12 cases of SCFE were retrospectively reviewed from September 2002 to August 2007 with average age 13.1 years (ranged from 11 to 14 years old). There were 8 cases in male, 4 in female, 7 stable cases and 5 unstable ones. Mild slippages(3 cases) were fixed in situ with single cannulated screw. Moderate to severe stable slippages(4 cases) and unstable slippages(4 cases) were treated with distal femoral bone traction in abduction and internalrotation for about 2 weeks followed with fixation by 1or 2 cannulated screws percutaneously under general anesthesia. The femoral reductions were estimated by head-shaft angle preo?鄄peratively and post?鄄operatively. The Iowa Hip Score system was used evaluate the functional results at last followup. Results All cases were followed up with the average period of 2.6 years(1.5～5 years). There were no difference in head-shaft angle between pretraction, posttraction and postoperation in stable cases（P > 0.05）. There were statistic difference between pretraction and posttraction , postoperation respectively in unstable cases（P < 0.05）.Except for one patient with complex treatment turned out to be avascular necrosis of femoral head with Iowa Hip Score 86 scores, there were no main complications in the other cases with Iowa Hip Score above 90 points. Conclusions Good reduction could be expected in unstable SCFE by bone traction before fixation with less complication. Bone traction would be invalid in stable SCFE.
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Memo
中国医科大学附属盛京医院小儿骨科（辽宁省沈阳市，110004），E-mail：websyy@tom.com