The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy
| Autor: | M.M.E.H. Witbreuk, M. G. Mullender, Philip P. Besselaar, I. N. Sierevelt, M. Bolkenbaas |
|---|---|
| Přispěvatelé: | Orthopedic Surgery and Sports Medicine |
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Avascular necrosis Epiphysiolysis capites femoris Slipped upper femoral epiphysis Deformity medicine Original Clinical Article Orthopedics and Sports Medicine Pediatrics Perinatology and Child Health business.industry Epiphysiodesis Imhauser osteotomy medicine.disease Acetabulum Surgery Slipped capital femoral epiphysis Intertrochanteric osteotomy Harris Hip Score Pediatrics Perinatology and Child Health Orthopedic surgery medicine.symptom business Range of motion |
| Zdroj: | Journal of Children's Orthopaedics Journal of Children's Orthopaedics, 3(5), 405-410. Springer Verlag Witbreuk, M M E H, Bolkenbaas, M, Mullender, M G, Sierevelt, I N & Besselaar, P P 2009, ' The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy ', Journal of Children's Orthopaedics, vol. 3, no. 5, pp. 405-410 . https://doi.org/10.1007/s11832-009-0204-7 |
| ISSN: | 1863-2521 |
| Popis: | Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink