SLIPPED CAPITAL FEMORAL EPIPHYSIS: LONG-TERM RESULTS OF AN ABANDONED TECHNIQUE

Orthopedics ◽  
1991 ◽  
Vol 14 (2) ◽  
pp. 133-136
Author(s):  
Martin S Steinke ◽  
Søren S Mikkelsen ◽  
Hans Peter Jensen ◽  
Per B Thomsen
Keyword(s):  
Slipped Capital Femoral Epiphysis ◽  
Long Term Results

scholarly journals Long-term follow-up of patients undergoing the modified Dunn procedure for slipped capital femoral epiphysis

2020 ◽  
Vol 1 (4) ◽  
pp. 80-87
Author(s):  
Caroline Passaplan ◽  
Lucienne Gautier ◽  
Emanuel Gautier
Keyword(s):  
Avascular Necrosis ◽  
Femoroacetabular Impingement ◽  
Revision Surgery ◽  
Slipped Capital Femoral Epiphysis ◽  
Implant Removal ◽  
Long Term Results ◽  
Harris Hip Score ◽  
Ucla Activity Score

Aims Our retrospective analysis reports the outcome of patients operated for slipped capital femoral epiphysis using the modified Dunn procedure. Results, complications, and the need for revision surgery are compared with the recent literature. Methods We retrospectively evaluated 17 patients (18 hips) who underwent the modified Dunn procedure for the treatment of slipped capital femoral epiphysis. Outcome measurement included standardized scores. Clinical assessment included ambulation, leg length discrepancy, and hip mobility. Radiographically, the quality of epiphyseal reduction was evaluated using the Southwick and Alpha-angles. Avascular necrosis, heterotopic ossifications, and osteoarthritis were documented at follow-up. Results At a mean follow-up of more than nine years, the mean modified Harris Hip score was 88.7 points, the Hip Disability and Osteoarthritis Outcome Score (HOOS) 87.4 , the Merle d’Aubigné Score 16.5 points, and the UCLA Activity Score 8.4. One patient developed a partial avascular necrosis of the femoral head, and one patient already had an avascular necrosis at the time of delayed diagnosis. Two hips developed osteoarthritic signs at 14 and 16 years after the index operation. Six patients needed a total of nine revision surgeries. One operation was needed for postoperative hip subluxation, one for secondary displacement and implant failure, two for late femoroacetabular impingement, one for femoroacetabular impingement of the opposite hip, and four for implant removal. Conclusion Our series shows good results and is comparable to previous published studies. The modified Dunn procedure allows the anatomic repositioning of the slipped epiphysis. Long-term results with subjective and objective hip function are superior, avascular necrosis and development of osteoarthritis inferior to other reported treatment modalities. Nevertheless, the procedure is technically demanding and revision surgery for secondary femoroacetabular impingement and implant removal are frequent. Cite this article: 2020;1-4:80–87.

scholarly journals Long-Term Results of Slipped Capital Femoral Epiphysis Treated with the Modified Dunn Procedure in a Colombian Cohort

2021 ◽  
Vol 13 ◽  
Author(s):  
Carlos Sarassa ◽  
Daniela Carmona ◽  
Daniel Vanegas Isaza ◽  
Camilo Restrepo Rodríguez ◽  
Ana Milena Herrera Torres
Keyword(s):  
Slipped Capital Femoral Epiphysis ◽  
Long Term Results

Slipped Capital Femoral Epiphysis Long-term Results After 10???38 Years

1979 ◽  
Vol &NA; (141) ◽  
pp. 176???180 ◽  
Author(s):  
PAUL M. ROSS ◽  
E. DENNIS LYNE ◽  
LAWRENCE G. MORAWA
Keyword(s):  
Slipped Capital Femoral Epiphysis ◽  
Long Term Results

scholarly journals A method of surgical treatment of unstable severe forms of juvenile femoral head epiphysiolysis

2013 ◽  
Vol 94 (6) ◽  
pp. 838-843
Author(s):  
A R Pulatov ◽  
V V Mineev
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Open Reduction ◽  
Slipped Capital Femoral Epiphysis ◽  
Late Results ◽  
Biomechanical Study ◽  
Long Term Results ◽  
Slip Angle

Aim. To analyze the long-term results of the designed method for the open epiphysis reduction in patients with severe unstable forms of juvenile femoral head epiphysiolysis. Methods. The article describes the method of surgical treatment of severe forms of unstable juvenile femoral head epiphysiolysis and long-term outcomes in 21 patients. The indications for the method were the unstable form of juvenile femoral head epiphysiolysis and slipped capital femoral epiphysis with a slip angle of more than 40 degrees. The age of patients at time of treatment ranged from 11 to 16 years, follow-up period - from 2 to 15 years. Five patients underwent a comprehensive biomechanical study within one year after surgery. Results. The early and late results of the femoral head epiphysis open reduction were analyzed. Positive results were obtained in 19 cases (good results in 17, satisfactory in 2). The complication rate was 14.3% and included 3 cases of avascular femoral head necrosis, no cases of chondrolysis were revealed. According to biomechanical examination data performed in five patients 1 year after the surgery, almost complete functional recovery of the musculoskeletal system was revealed. Conclusion. Analysis of the results showed that being properly executed the open reduction of the femoral head with a corrective femoral neck osteotomy allowed to restore normal anatomic proportions and function of the affected joint, positive result was maintained for the entire follow-up period.

scholarly journals Long-term follow-up of patients undergoing the modified Dunn procedure for slipped capital femoral epiphysis

2020 ◽  
Vol 1 (4) ◽  
pp. 80-87
Author(s):  
Caroline Passaplan ◽  
Lucienne Gautier ◽  
Emanuel Gautier
Keyword(s):  
Avascular Necrosis ◽  
Femoroacetabular Impingement ◽  
Revision Surgery ◽  
Slipped Capital Femoral Epiphysis ◽  
Implant Removal ◽  
Long Term Results ◽  
Harris Hip Score ◽  
Ucla Activity Score

Aims Our retrospective analysis reports the outcome of patients operated for slipped capital femoral epiphysis using the modified Dunn procedure. Results, complications, and the need for revision surgery are compared with the recent literature. Methods We retrospectively evaluated 17 patients (18 hips) who underwent the modified Dunn procedure for the treatment of slipped capital femoral epiphysis. Outcome measurement included standardized scores. Clinical assessment included ambulation, leg length discrepancy, and hip mobility. Radiographically, the quality of epiphyseal reduction was evaluated using the Southwick and Alpha-angles. Avascular necrosis, heterotopic ossifications, and osteoarthritis were documented at follow-up. Results At a mean follow-up of more than nine years, the mean modified Harris Hip score was 88.7 points, the Hip Disability and Osteoarthritis Outcome Score (HOOS) 87.4 , the Merle d’Aubigné Score 16.5 points, and the UCLA Activity Score 8.4. One patient developed a partial avascular necrosis of the femoral head, and one patient already had an avascular necrosis at the time of delayed diagnosis. Two hips developed osteoarthritic signs at 14 and 16 years after the index operation. Six patients needed a total of nine revision surgeries. One operation was needed for postoperative hip subluxation, one for secondary displacement and implant failure, two for late femoroacetabular impingement, one for femoroacetabular impingement of the opposite hip, and four for implant removal. Conclusion Our series shows good results and is comparable to previous published studies. The modified Dunn procedure allows the anatomic repositioning of the slipped epiphysis. Long-term results with subjective and objective hip function are superior, avascular necrosis and development of osteoarthritis inferior to other reported treatment modalities. Nevertheless, the procedure is technically demanding and revision surgery for secondary femoroacetabular impingement and implant removal are frequent. Cite this article: 2020;1-4:80–87.

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