Outcome of the unaffected contralateral hip in unilateral slipped capital femoral epiphysis: a report comparing prophylactic fixation with observation
| Autor: | Robert Freeman, A Bhattacharjee, N. Kiely, Andrew Roberts |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Risk musculoskeletal diseases medicine.medical_specialty Adolescent Radiography Bone Screws Avascular necrosis Slipped Capital Femoral Epiphyses 03 medical and health sciences Fixation (surgical) Postoperative Complications 0302 clinical medicine Femur Head Necrosis Epiphyses Slipped medicine Unilateral Slipped Capital Femoral Epiphysis Humans Orthopedic Procedures Orthopedics and Sports Medicine 030212 general & internal medicine Chondrolysis Child Retrospective Studies 030222 orthopedics Hip business.industry Incidence Retrospective cohort study medicine.disease Surgery Exact test Treatment Outcome Pediatrics Perinatology and Child Health Female Slipped capital femoral epiphysis business |
| Zdroj: | Journal of Pediatric Orthopaedics B. 25:454-458 |
| ISSN: | 1060-152X |
| DOI: | 10.1097/bpb.0000000000000337 |
| Popis: | This was a retrospective review of 80 patients with unilateral slipped capital femoral epiphysis treated with either prophylactic fixation or observation. The unaffected hip of 44 patients (mean age 12.6 years) were subjected to simultaneous prophylactic fixation and 36 patients (mean age 13.4 years) were managed by observation. Fisher's exact test showed a significantly high incidence of sequential slip of unaffected hips in the observation group in comparison with prophylactic fixation (P=0.002). No cases had avascular necrosis or chondrolysis. Prophylactic fixation significantly reduces the incidence of sequential slip. It outweighs the minimal surgical risks compared with its benefit in the prevention of further sequential slip. |
| Databáze: | OpenAIRE |
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