1. [Clinical outcome and assessment of spontaneous remodeling of slipping angle in SCFE].
- Author
-
Radło W, Feluś J, and Kotulski D
- Subjects
- Adolescent, Child, Epiphyses, Slipped complications, Epiphyses, Slipped diagnostic imaging, Epiphyses, Slipped physiopathology, Female, Femur Head diagnostic imaging, Femur Head physiopathology, Femur Neck physiopathology, Femur Neck surgery, Follow-Up Studies, Hip Joint physiopathology, Hip Joint surgery, Humans, Male, Radiography, Range of Motion, Articular, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Bone Nails standards, Bone Remodeling, Epiphyses, Slipped surgery, Femur Head surgery, Femur Head Necrosis etiology
- Abstract
38 patients, and 45 hips has undergone treatment for slipped capital femoral epiphysis between 1995 and 2000. On the basis of the measurement of the head shaft angle on X-ray examination done preoperatively, hips were classified to one of the three groups--mild, moderate, and severe slippage. All patients had undergone pinning in situ as a primary treatment. All were checked out periodically, clinically and radiologically. On the last X-ray before physeal plate closure the head shaft angle was evaluated again. Retrospectively the head neck angle was measured as well. After the average 2.5 years long observation there was stated, that according to Southwick clinical and radiological classification 73% of good and very good outcomes were among moderate and severe slippages. On X-ray assessment 38% of initial and final projection were estimated to be comparable. Amount was inversely proportional to escalation of the slippage. On the comparable projections remodeling of the proximal femur occurred in 27% of the head-shaft angle cases, and 39% on the head-neck angle cases. Remodeling often concerned younger patients and greater slippages. Primary in situ stabilization in treatment SCFE is a correct therapy. Because of spontaneous remodeling occurring in a large amount of hips after stabilization making, a decision of realignment procedures should be rescheduled until remodeling is over after physeal plate closure. Conventional X-rays examination is a method of qualitative, not quantitative monitoring of a treatment of SCFE.
- Published
- 2004