ACUTE SLIPPED CAPITAL FEMORAL EPIPHYSIS - RESULTS OF SURGICAL THERAPY AND REVIEW OF THE PROBLEMS
Authors:
Pavel Šponer
Authors place of work:
Department of Orthopaedic Surgery, University Hospital, Hradec Králové
; Ortopedická klinika LF UK a FN, Hradec Králové
Published in the journal:
Úraz chir. 14., 2006, č.1
Summary
The aim of the study is to provide the evaluation of the operative treatment results in acute juvenile slipped capital femoral epiphylis. Between 1996 and 2003 twenty-three hip joints were operated on in nineteen children, four children underwent bilateral surgery. The age at the time of surgery was 10–15 years. There was chronical slip in 17 hips. Six patients with acute slipped capital femoral epiphysis were included in the study. The follow-up was 2–8 years with an average period of 4,5 years after the surgery. The postoperative evaluation partly focussed on subjective complaints, on range of motion, walking ability and length of lower extremities with the use of the system published by Heyman and Herndon, and partly focussed on hip radiographs. Mild slipped capital femoral epiphysis was mannaged in 3 hip joints and severe in 3 joints. Stable slipped capital femoral epiphysis was in 3 cases, unstable in 3 hips. The Heyman and Herndon clinical rating was excellent in 3 hip joints. Poor clinical rating for mild limping without pain was in 2 hips and 1 patient had a mild limping and pain after exercise.
Key words:
slipped capital femoral epiphysis, in situ stabilization, femoral osteotomy.
Zdroje
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