[Clinical outcome and assessment of spontaneous remodeling of slipping angle in SCFE].
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.
Radło
Wojciech
W
Oddział Ortopedyczno-Urazowy, Katedra Chirurgii Pediatrycznej, Wydział Lekarski Uniwersytetu Jagiellońskiego.
Feluś
Jarosław
J
Kotulski
Dariusz
D
D000293:Adolescent; D001858:Bone Nails / Q000592:standards*; D016723:Bone Remodeling; D002648:Child; D004839:Epiphyses, Slipped / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005271:Femur Head Necrosis / Q000209:etiology*; D005272:Femur Neck / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome