Long-term hip function in slipped capital femoral epiphysis treated with in situ pinning

Journal of Orthopaedic Surgery
Elizabeth C BondRichard Willoughby

Abstract

In recent years, there has been a trend toward more aggressive management of slipped capital femoral epiphysis (SCFE) with acute anatomical realignment; however, the literature is unclear with regard to the indications for this. To collect long-term patient-reported outcome scores on a group of SCFE patients using modern hip scores. The second aim was to determine whether there is a threshold level of deformity beyond which patients have predictably poor outcomes following in situ pinning. Patients presenting with SCFE between 2000 and 2009 completed a survey consisting of three modern hip scores and were classified into poor, intermediate, and good outcome groups. The posterior slope angle (PSA) was used to measure slip deformity. We examined the relationship between patient characteristics and functional outcomes. The relationship between PSA score and overall outcome was examined using receiver operator curve (ROC) analysis. The total study population was 63; 14% patients had poor, 29% had intermediate, and 57% had good functional outcomes. The mean Non-Arthritic Hip Scores (NAHSs) for those with poor outcomes was 51, 76 in the intermediate group, and 95 in the good group ( p <0.001). PSA was significantly lower in those wit...Continue Reading

References

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Citations

May 27, 2020·The Journal of Bone and Joint Surgery. American Volume·Pierre Navarre
May 7, 2020·Journal of Pediatric Orthopedics. Part B·Jakob ÖrtegrenCarl J Tiderius
Aug 4, 2021·Journal of Orthopaedics·Nils WirriesThilo Floerkemeier

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Methods Mentioned

BETA
X-ray
total hip arthroplasty

Software Mentioned

Survey Monkey
SPSS

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