2007, Number 5
<< Back Next >>
Bol Med Hosp Infant Mex 2007; 64 (5)
Hip mobility after surgical treatment of slipped capital femoral epiphysis.
Miranda-López E, López-Sosa FH, Cortés-Rodríguez R, Tercero-Quintanilla G
Language: Spanish
References: 19
Page: 302-308
PDF size: 226.03 Kb.
ABSTRACT
Introduction. Slipped capital femoral epiphysis involves the lost of normal function in proximal femur. The purpose of the study was to evaluate mobility of hips before and after surgical treatment.
Methods. A retrospective cohort of 54 cases was selected. For statistical evaluation of hip functionality before and after surgical treatment Wilcoxon test was used.
Results. Thirty-three male and 17 female patients were included in the study. From these patients a total of 64 hips were affected: 26 left (48%), 18 right (33%) and 10 bilateral (19%). The treatment consisted mainly of internal fixation with cannulated screw. The Wilcoxon test showed a difference statistically significant for better hip mobility after surgical treatment.
Conclusion. The mobility of hips was better after surgical treatment disregarding the type of internal fixation.
REFERENCES
Lovell WW, Winter RB. Ortopedia pediátrica. 2ª ed. Buenos Aires, Argentina: Ed. Panamericana; 1991. p. 743-53.
Canale TS. Cirugía ortopédica. 9ª ed. Madrid, España: Ed. Harcout-Brace; 1998. p. 2451-75.
American Academy of Orthopedics Surgeons (AAOS). Orthopaedic knowledge update 5. Barcelona, España: Ed. Masson, SA; 1997. p. 364-5.
Tronzo RG. Cirugía de cadera. Buenos Aires, Argentina: Ed. Panamericana; 1980. p. 246-63.
Marvin ES. La cadera, diagnóstico y tratamiento de su patología. Buenos Aires, Argentina: Ed. Panamericana; 1993. p. 437-67.
Staheli, LT. Ortopedia pediátrica. Madrid, España: Ed. Marbán; 2003. p. 134-55.
Franklin HS. Selected instructional course lectures. The American Academy of Orthopaedics Surgeons; 2000. p. 1170-88.
Escudero SI, Garrido DA, Vidal PM. Adolescente con dolor inguinal y cojera. Med Fam. 2000; 10: 254-7.
Randall T, Loder M. Unstable slipped capital femoral epiphysis. J Pediatr Orthop. 2001; 21: 694-9.
Puylaert D, Dimeglio A, Bentahar T. Staging puberty in slipped capital femoral epiphysis: importance of the triradiate cartilage. J Pediatr Orthop. 2004; 24: 144-7.
Brown D. Seasonal variation of slipped capital femoral epiphysis in the United States. J Pediatr Orthop. 2004; 24: 139-43.
Kocher M, Bishop J, Hresko MT, Millis M, Kim YJ, Kasser JR. Prophylactic pinning of the contralateral hip after unilateral slipped capital femoral epiphysis. J Bone Joint Surg. 2004; 86: 2658-65.
Schultz WR, Weinstein JN, Weinstein SL, Smith BG. Prophylactic pinning of the contralateral hip in slipped capital femoral epiphysis. J Bone Joint Surg. 2002; 84: 1305-14.
Mark PD, Weiner DS, Green NE, Cooper L. Acute slipped capital femoral epiphysis: the value and safety of urgent manipulative reduction. J Pediatr Orthop. 1997; 17: 648-54.
Castro FP, James TB, Kevin DS. Epidemiological perspective on prophylactic pinning in patients with unilateral slipped capital femoral epiphysis. J Pediatr Orthop. 2000; 20: 745-8.
Fron D, Dominique F, Emmanuelle M, Patrice H, Bernard H. Follow-up study of severe slipped capital femoral epiphysis treated with Dunn’s osteotomy. J Pediatr Orthop. 2000; 20: 320-5.
Loder RT, Blakemore LC, Farley FA. Measurement variability of slipped capital femoral epiphysis. J Orthop Surg. 2000; 7: 33-42.
Fragniere B, Chotel F, Barreto BV. The value of early postoperative bone scan in slipped capital femoral epiphysis. J Pediatr Orthop. 2001; 10: 51-5.
Kennedy JP, Hresko MT, Kasser JR. Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop. 2001; 21: 189-93.