Experiences of open replacement of the femoral head in slipped capital femoral epiphysis.

概要

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In order to assess the usefulness of open replacement of the femoral head for slipped capital femoral epiphysis, the results of seven cases are presented. Of the four cases with acute-on-chronic slip, one had avascular necrosis of the femoral head and another had radiological irregularity of the contour of the head. Two other cases with acute-on-chronic slip and three cases with chronic slip had good clinical and radiological results. As Dunn has reported, this open replacement operation should be indicated for cases of severe chronic slip. From the above experiences it seems that the capital blood supply is not at great risk because the hip is exposed by elevation of the trochanter, and intra-articular procedures can be done under direct vision of the retinaculum which contains the blood vessels to the femoral head.
西日本整形・災害外科学会の論文