CAJ | 학술논문

目的研究改良Russell牵引加原位穿针(钉)在治疗儿童股骨头骺滑脱中的应用.方法回顾1995年8月至2006年8月,我科收治并获得随访的SCFE病例 42 例,其中男 30 例,女12例.所有患儿术前均行改良Russell牵引,评价该牵引方法对股骨头骺复位的作用,然后行原位穿针(钉)术,术后对患儿进行随访,观察该治疗方法对患儿髋关节功能的影响情况.结果 Russell牵引可明显改善股骨头骺脱位情况,42 例SCFE患儿中,采用牵引加原位穿针(钉)固定方法治疗的共 33例,其中除 2 例患儿牵引无效及术后髋关节功能恢复差之外,其余患儿均得到满意效果.结论改良Russell牵引加原位穿针(钉)治疗可最大限度保留SCFE患儿髋关节功能,临床疗效满意.
목적 연구개량Russell견인가원위천침(정)재치료인동고골두후활탈중적응용.방법 회고1995년8월지2006년8월,아과수치병획득수방적SCFE병례 42 례,기중남 30 례,녀12례.소유환인술전균행개량Russell견인,평개해견인방법 대고골두후복위적작용,연후행원위천침(정)술,술후대환인진행수방,관찰해치료방법 대환인관관절공능적영향정황.결과 Russell견인가명현개선고골두후탈위정황,42 례SCFE환인중,채용견인가원위천침(정)고정방법 치료적공 33례,기중제 2 례환인견인무효급술후관관절공능회복차지외,기여환인균득도만의효과.결론 개량Russell견인가원위천침(정)치료가최대한도보류SCFE환인관관절공능,림상료효만의.
Objective To investigate the modified Russell distraction with screw or pin fixation in the treatment of slipped capital femoral epiphysis (SCFE). Methods From August 1995 to April 2006, 42 cases of SCFE who were treated with modified Russell distraction with screw or pin fixation were retrospectively analyzed. There were 30 males and 12 females. The average age of the patients was 10.3 years (ranging from 7 years to 14 years). Russell distraction was performed in all patients before pin or screw fixation, and its therapeutic effect in epiphysis alignment were evaluated. All pa- tients were followed up to assess their hip function according to Harris and Charnly score system. Re- sults The apposition of femoral head epiphysis was effectively improved by Russell distraction. In all the patients with SCFE, 33 cases who accepted the Russell distraction with screw or pin fixation in si- tu recovered satisfactorily except 2 patients who got poor therapeutic effects of distraction and poor re- covery of hip function. The Southwick angle was improved in all patients. Conclusions Modified Rus- sell distraction with screw or pin fixation can reserve satisfactory hip function and achieve good thera- peutic effects.