本组患者并发症发生\uf961较低得益于术前仔细分析 X 线前后位及侧位片,准确地判断\uf9ba移位程\ufa01和方向, 选择\uf9ba\uf9e4想的固定位置(我们的固定是垂直于骨骺线并局限于股骨头中央部的前后位及侧位进针, 避开\uf9ba股骨头的上外部, 因此处\uf9e0损伤断面且固定的失败\uf961最高), 故坏死发生\uf961较低。 由此可见, 有必要提高对股骨近端骨骺分离的治疗方法和方式的认识, 重视对其长期随访,特别是\uf98e龄较小的患儿,以\uf965即早矫正骨骺早闭引起的肢体畸形。 参考文献: [ 1] Aune AK,Ekeland A,odegaard B,et al.Gamma nailvs compression screw for trochanteric fermoral fractures 15 reoperations in a prospective, randomized study of 378 pationts[ J] .Acta Orthop Scand,1994, 65: 127130. [ 2] Loder RT, Wittenberg B, Desilva G.Slipped capital femoral epiphysis associated with endocrine disorders[ J] .J Pediatr Orthop,1995, 15: 349356. [ 3] 吴阶平, 裘法祖.黄家驷外科学[ M] .第 6 版.\uf963京: 人民卫生出版社, 1999: 19031907. [ 4] Vossinakis IC,Badras LS.The external fixator compared with the sliding hip screw for pertrochanteric fratures of the femur[ J] .J Bone Joint Surg(Br), 2002, 84: 2329. [ 5] Kibiloski LJ, Doane RM, Karot LA, et al.Biomechanical analysis of single versus double screw fixation in slipped capital femoral epiphysis at physiological load levels[ J] .J Pediatr Orthop, 1994,14: 627630. [ 6] 王继孟, 王延宙.刘桂海, 等.外伤性股骨近端骨骺分离的治疗[ J] .中华小儿外科杂志, 1995, 16: 108. [ 7] Viettos BC, Hoffman EB.Chondrolysis in slipped capital femoral epiphysis, Longterm study of the aetiology and nature history[ J] .J Bone Joint Surg(Br), 1993, 6: 956996.