31-184
Epifisiólisis femoral proximal. Revisión de 44 casos
Slipped capital femoral epiphysis, review of 44 cases
D. GARCÍA DE QUEVEDO PUERTA, L. I. MÉNDEZ PÉREZ, P. LORING MARTÍNEZ DE IRUJO y A.GONZÁLEZ SEGURO Unidad de Cirugía Ortopédica y Traumatología Infantil. Servicio de Cirugía Ortopédica y Traumatología. Hospital Regional Carlos Haya. Málaga.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
We review 44 children with 47 slipped capital femoral epiphysis. There were
23 mild slips, 18 moderate, and 6 severe. Operative treatment was performed in all but one of the
slips. In 10 cases prophylactic pinning of the contralateral hip was performed. Penetration of the
joint by the implant was present in 17 (30%) of the 56 fixed hips. The average follow-up was 56
months (range: 3 to 178 months). The results, according to clinical and rocntgenographic parameters
were excellent or good in 91% of mild slips, 77% of moderate and 33% of severe. As complications
there were two cases of chondrolysis, both associated with joint penetration. In 2 (6%) patients
where prophylactic pinning was not performed, contralateral hip slipping developed. In our study,
results correlate with slip severity. We do not recommend prophylactic contralateral pinning.
23 mild slips, 18 moderate, and 6 severe. Operative treatment was performed in all but one of the
slips. In 10 cases prophylactic pinning of the contralateral hip was performed. Penetration of the
joint by the implant was present in 17 (30%) of the 56 fixed hips. The average follow-up was 56
months (range: 3 to 178 months). The results, according to clinical and rocntgenographic parameters
were excellent or good in 91% of mild slips, 77% of moderate and 33% of severe. As complications
there were two cases of chondrolysis, both associated with joint penetration. In 2 (6%) patients
where prophylactic pinning was not performed, contralateral hip slipping developed. In our study,
results correlate with slip severity. We do not recommend prophylactic contralateral pinning.
Palabras clave (ES):
Cadera
Adolescente
Fisis
FemoralProximal
Epifisiólisis
Niño
Coxa
Fémur
Vara
Resumen (EN)
We review 44 children with 47 slipped capital femoral epiphysis. There were
23 mild slips, 18 moderate, and 6 severe. Operative treatment was performed in all but one of the
slips. In 10 cases prophylactic pinning of the contralateral hip was performed. Penetration of the
joint by the implant was present in 17 (30%) of the 56 fixed hips. The average follow-up was 56
months (range: 3 to 178 months). The results, according to clinical and rocntgenographic parameters
were excellent or good in 91% of mild slips, 77% of moderate and 33% of severe. As complications
there were two cases of chondrolysis, both associated with joint penetration. In 2 (6%) patients
where prophylactic pinning was not performed, contralateral hip slipping developed. In our study,
results correlate with slip severity. We do not recommend prophylactic contralateral pinning.
23 mild slips, 18 moderate, and 6 severe. Operative treatment was performed in all but one of the
slips. In 10 cases prophylactic pinning of the contralateral hip was performed. Penetration of the
joint by the implant was present in 17 (30%) of the 56 fixed hips. The average follow-up was 56
months (range: 3 to 178 months). The results, according to clinical and rocntgenographic parameters
were excellent or good in 91% of mild slips, 77% of moderate and 33% of severe. As complications
there were two cases of chondrolysis, both associated with joint penetration. In 2 (6%) patients
where prophylactic pinning was not performed, contralateral hip slipping developed. In our study,
results correlate with slip severity. We do not recommend prophylactic contralateral pinning.
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