[Superior femoral epiphysiolysis. Long term results].
Analysis of the long-term outcome of slipped capital femoral epiphysis convincingly demonstrates that early diagnosis is essential. Chronic slipping with significant displacement are associated with a high rate of adverse outcomes including necrosis, chondrolysis, and early osteoarthritis. Orthopedic reduction increases the risk of complications. Inadequate reduction is associated with poor hip function and a high risk of early osteoarthritis. Improvements in overall long-term outcome could be achieved only by reducing the number of chronic forms with major displacement, since prognosis is generally favorable in acute forms and chronic forms with minor displacement.
Clavert
J M
JM
Service de Chirurgie Infantile, Hôpital de Hautepierre, CHU de Strasbourg.
Repetto
M
M
De Billy
B
B
D000293:Adolescent; D002648:Child; D004839:Epiphyses, Slipped / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005269:Femur; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D011379:Prognosis; D011859:Radiography; D016896:Treatment Outcome
Epiphysiolyse fémorale supérieure. Résultats à long terme.