Proximal Femoral Deformity Following Threaded Prophylactic Fixation for Slipped Capital Femoral Epiphysis: Risk Stratification Using the Modified Oxford Score
| Autor: | Vedant Kulkarni, Jennette L. Boakes, Aaron D. Boyles, Benjamin Wilson, Ryan D. Muchow, Anita Bagley, Jacob R Carl |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Bone Screws Slipped Capital Femoral Epiphyses Risk Assessment 03 medical and health sciences Fixation (surgical) Femoral head 0302 clinical medicine Age Determination by Skeleton medicine Deformity Humans Orthopedics and Sports Medicine Femur Child Femoral neck Retrospective Studies 030222 orthopedics business.industry Femur Neck Retrospective cohort study Bone age Femur Head General Medicine medicine.disease Prophylactic Surgery Surgery medicine.anatomical_structure Pediatrics Perinatology and Child Health Female medicine.symptom business Slipped capital femoral epiphysis |
| Zdroj: | Journal of pediatric orthopedics. 40(7) |
| ISSN: | 1539-2570 |
| Popis: | BACKGROUND This study assesses the effect of skeletal maturity on the development of iatrogenic proximal femoral deformity following threaded prophylactic screw fixation in patients presenting with unilateral slipped capital femoral epiphysis (SCFE). METHODS Children who underwent threaded screw prophylaxis of the uninvolved hip (Group P) and those who were observed with no prophylaxis (Group N) on presentation with unilateral SCFE were compared. Skeletal maturity was assessed with the Modified Oxford Score (MOS). Proximal femoral morphology was characterized by femoral neck length, femoral neck width, neck shaft angle, and trochanteric femoral head overlap percentage (TFHOP). Femoral head deformity at final follow-up was characterized as spherical (Type 1), mildly aspherical (Type 2), or ovoid (Type 3). Analysis of variance and t test were used to compare the groups. RESULTS Thirty-eight patients in Group P and 17 patients in Group N met inclusion criteria. The average follow-up was 2.6 years. Group P was younger than Group N by an average of 9.6 months (P=0.04), but the MOS for skeletal maturity was not different between groups (P=0.15). Group P had significantly diminished neck length (P=0.008) and significantly increased relative trochanteric overgrowth as evidenced by increased trochanteric femoral head overlap percentage (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|