[Clinical and pathological changes of ischemic necrosis of the femoral head in children]

A total of 54 cases (73 hips) with ischemic necrosis of the femoral head after treatment of CDH have been followed up with an average of 7 years. We found that 89% cases of type I and 70% of type II recovered to normal and 83% cases of type III and IV developed the coxa breva deformity due to injury of longitudinal growth plate of the proximal end of the femur. According to the value of ATD, the coxa breva was divided into three types. The L shape growth disturbance line revealed by X-ray is considered as a marker for determination of early epiphyseal plate injury by the authors.