PMID: 3757355Sep 1, 1986Paper

Slipped capital femoral epiphysis in southern Sweden. Long-term results after femoral neck osteotomy

Clinical Orthopaedics and Related Research
G HägglundS Sandström

Abstract

Opinions differ concerning the treatment of choice for severe slipped capital femoral epiphysis, probably due to the lack of long-term follow-up evaluations on the different methods of treatment. A series of 33 patients with severe slipped capital femoral epiphysis, treated per primam with wedge osteotomy of the femoral neck, were radiographically and clinically reexamined an average of 28 years (range, 16-32 years) after the operation. Segmental collapse and/or chondrolysis developed in ten patients. Nine of these patients were available for reexamination and all had severe arthrosis with poor function. Arthrosis developed in nine of the 19 patients without signs of segmental collapse or chondrolysis; these patients had a satisfactory joint function. This series was compared with another series (from the same orthopedic departments) of patients with severe slip without any primary treatment. The long-term results in these two groups were similar; consequently, the value of realignment by wedge osteotomy of the femoral neck is questionable.

Citations

Aug 10, 2010·International Orthopaedics·Christoph ZilkensRüdiger Krauspe
Jan 1, 1990·Archives of Orthopaedic and Trauma Surgery·G OrdebergS Sandström
Sep 29, 2009·Journal of Children's Orthopaedics·Melinda M E H WitbreukP P Besselaar
Feb 24, 2006·Pediatric Annals·Daniellle A Katz
Jan 1, 1987·Acta Paediatrica Scandinavica. Supplement·J KarlbergP Karlberg
Jan 9, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·S Abu AmaraJ Lechevallier

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