■这项专家共识研究的目的是就不同类型的滑脱股骨骨epi的治疗以及对侧未受影响侧的预防性螺钉固定的使用达成共识。
■在这项研究中,采用四轮德尔菲法。包括所有可能的理论失误情景在内的问卷被在线发送给14名参与者,在儿童骨科和儿童髋关节疾病的治疗领域有丰富的经验。
■在所有类型的轻度滑脱情况和中度滑脱情况下,原位固定被认为是首选治疗选择。稳定的。进行原位固定在中度,不稳定,在所有严重打滑的情况下。在中度到重度,不稳定滑移情况,对于使用轻柔的闭合或切开复位和内固定,大家达成了共识.在重症患者的最佳治疗中没有建立任何共识,稳定的滑动。在内分泌紊乱和年龄较小的情况下,对侧侧使用预防性螺钉固定也达成了共识。
■即使在有经验的外科医生中,对所有类型的滑脱股骨骨phy的治疗达成共识似乎也是不可能的。滑移的严重程度和滑移的稳定性是外科医生选择治疗的主要和次要决定因素,分别。在几种滑脱类型中,原位固定仍然是首选的治疗选择。建议通过封闭或开放手段进行温和的资本重组,不稳定的滑动。在某些情况下,需要对侧的预防性螺钉固定。
■V级
UNASSIGNED: The aim of this expert
consensus study was to establish
consensus on the treatment of different types of slipped capital femoral epiphysis and on the use of prophylactic screw fixation of the contralateral unaffected side.
UNASSIGNED: In this study, a four-round Delphi method was used. Questionnaires including all possible theoretical slip scenarios were sent online to 14 participants, experienced in the field of children\'s orthopedics and in the treatment of hip disorders in children.
UNASSIGNED: In-situ fixation was considered to be the first treatment choice in all types of mild slip scenarios and in moderate, stable ones. Performing in-situ fixation was not favored in moderate, unstable, and in all severe slip scenarios. In moderate to severe, unstable slip scenarios, there was
consensus on the use of gentle closed or open reduction and internal fixation. Any
consensus was not established in the optimal treatment of severe, stable slips. There was also
consensus on the use of prophylactic screw fixation of the contralateral side in case of co-existing endocrine disorder and younger age.
UNASSIGNED: The establishment of
consensus on the treatment of all types of slipped capital femoral epiphysis even among the experienced surgeons does not seem to be possible. The severity of the slip and stability of the slip are the primary and secondary determinants of the surgeons\' treatment choices, respectively. In-situ fixation is still the preferred treatment option in several slip types. Gentle capital realignment by closed or open means is recommended in displaced, unstable slips. Prophylactic screw fixation of the contralateral side is indicated under certain circumstances.
UNASSIGNED: level V.