改良Dunn手术联合cc螺钉固定治疗复发性癫痫患者不稳定双侧股骨骨骺滑动

Aayush Arora, S. T. Sanikop, Ravi S Jatti, Prathamesh M Hanchnal
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引用次数: 0

摘要

摘要股骨头骨骺滑动在临床上并不常见,诊断和治疗往往被延误。对于严重股骨骨骺滑动的患者,改良的Dunn方法可以恢复股骨近端形态和适当的髋关节功能(SCFE)。本文的目的是概述癫痫患者不稳定的双侧股骨头骨骺滑动的治疗管理。一名已知的祖母性癫痫病例,9岁女童因严重SCFE来到门诊部。患者行改良的Dunn截骨术,并用CC螺钉固定骨骺端连接处。由于对癫痫患者股骨头骨骺滑动的认识很少,因此本病例报告非常罕见。人们应该警惕那些患有无法控制的癫痫发作的儿童。延误诊断可导致不满意的治疗结果和预后不良。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment of unstable bilateral slipped capital femoral epiphysis using modified Dunn procedure along with cc screw fixation in a recurrent epileptic patient
Slipped capital femoral epiphysis (SCFE) is uncommon in daily practise, and diagnosis and treatment are usually delayed. In patients with severe slipped capital femoral epiphysis, the modified Dunn method allows for the restoration of proximal femoral morphology and proper hip function (SCFE). The purpose of this article is to outline the treatment management of unstable bilateral slipped capital femoral epiphysis in an epileptic patient.A 9-year-old female, a known case of grandmal epilepsy, arrived in the outpatient department with a severe SCFE. The patient underwent modified Dunn osteotomy and fixation of the epiphysio-metaphysis junction with CC screw fixation. Since there is very little awareness regarding slipped capital femoral epiphysis in an epileptic patient, this case report is very rare.One should be vigilant about children suffering from uncontrolled epileptic attacks. A delay in diagnosis can lead to an unsatisfactory treatment outcome and a poor prognosis.
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