title: [Treatment of beginning juvenile detachment of the femoral head, taking growth of the femoral neck into account (author's transl)].
abstract: Prevention of further detachment is the primary aim in the immediate treatment of beginning juvenile detachment of the femoral head. Screwing of the epiphysis of the head, first introduced by M. E. Mueller (1965), has proved successful. Besides providing immediate mechanical stability, this method, however, results in premature ossification of the joint of the femoral neck. Epiphysiodesis has a particularly unfavourable effect in early childhood, because it inhibits proper growth of the leg and development of the mechanism of the hip joint on account of the shortened femoral neck. Spiking of the epiphysis with Krischner screw wires guarantees safe fixation of the epiphyseal head on the one hand, and sufficient freedom of femoral neck growth on the other. Surgical treatment requires knowledge of the changed hip joint anatomy of the child. Preoperative planning via drawing to determine the length and position of the implantate on the basis of standardised x-ray films, will help to prevent operative failures.
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D001863:Bone Screws; D002648:Child; D004839:Epiphyses, Slipped / Q000601:surgery*; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005272:Femur Neck / Q000254:growth & development*; D006801:Humans; D008297:Male; D011859:Radiography
vernacular_title: Therapie der beginnenden juvenilen Hüftkopflösung unter Berücksichtigung des Schenkelhalswachstums.