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

Bone & Joint Open
Caroline PassaplanEmanuel Gautier

Abstract

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. 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. 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 s...Continue Reading

References

May 1, 1988·The Journal of Bone and Joint Surgery. British Volume·N S BroughtonJ C Angel
Aug 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R T LoderD D Aronson
Mar 1, 1996·The Journal of Bone and Joint Surgery. American Volume·T RatteyJ G Wright
Oct 22, 1998·Journal of Orthopaedic Trauma·T J GillR Ganz
Dec 23, 1999·The Journal of Bone and Joint Surgery. American Volume·D Tönnis, A Heinecke
Oct 25, 2007·The Journal of Bone and Joint Surgery. British Volume·K K GosvigE Magnusson
Jan 15, 2009·Clinical Orthopaedics and Related Research·Kai ZiebarthYoung-Jo Kim
Jun 10, 2010·Clinical Orthopaedics and Related Research·Michael LeunigReinhold Ganz
Dec 17, 2010·The Journal of Bone and Joint Surgery. American Volume·Theddy SlongoKai Ziebarth
May 19, 2011·The Journal of Bone and Joint Surgery. British Volume·H HuberS Dierauer
Apr 17, 2012·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Alessandro MassèReinhold Ganz
Apr 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Wudbhav N SankarJudson W Karlen
Jun 21, 2013·Journal of Pediatric Orthopedics·Pablo CastañedaCarlos Vidal
Apr 2, 2014·Journal of Pediatric Orthopedics·Christopher D SouderDennis R Wenger
Sep 12, 2014·Journal of Pediatric Orthopedics·Vidyadhar V UpasaniJames R Kasser
Dec 17, 2014·Clinical Orthopaedics and Related Research·Eduardo N NovaisErnest L Sink
Nov 21, 2015·Journal of Children's Orthopaedics·Philippe M TschollLeonhard E Ramseier
Feb 13, 2016·Journal of Pediatric Orthopedics·Freddie PersingerKevin E Klingele
Mar 1, 2016·World Journal of Orthopedics·Ashok N Johari, Ritesh A Pandey
Jan 21, 2017·Journal of Pediatric Orthopedics·Julio Javier MasquijoClaudio A Fernández
Feb 9, 2017·SICOT-J·Mohammed ElmarghanyAlessandro Massè
Feb 15, 2017·Clinical Orthopaedics and Related Research·Kai ZiebarthKlaus A Siebenrock
May 23, 2017·Journal of Children's Orthopaedics·M TannastK A Siebenrock
Aug 6, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Stijn GhijselingsPierre Moens
Aug 9, 2019·Journal of Pediatric Orthopedics·Richard L DavisKevin E Klingele
Nov 11, 2019·Journal of Orthopaedic Surgery and Research·Nicola EbertAlexander S Spiro

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

Winstat

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