Document Detail


Functional outcome of stable grade III slipped capital femoral epiphysis treated with in situ pinning.
MedLine Citation:
PMID:  19568016     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We sought to determine the functional outcome of patients with grade 3 slipped capital femoral epiphysis who had been treated with in situ pinning at a mid-term follow-up. METHODS: One hundred and five patients with 129 slips (24 bilateral) were reviewed. Minimum follow-up was 5 years and mean follow-up was 66 months. Slips over 60 degrees were considered grade 3. All of the patients underwent in situ pinning with a single cannulated screw; the placement of the screw was evaluated with the criteria of Stambough. The final evaluation was performed using the Iowa Hip Score and results were analyzed by sex, age at time of diagnosis, and body mass index. Statistical analysis was carried out using the Mann-Whitney U-test considering a P value of less than 0.005 to be statistically significant. RESULTS: The mean Iowa Hip Score was 84.73. Fifty-two patients were considered to have an excellent result, 28 a good result, 16 a fair result, and 9 a bad result. The pin placement was considered adequate in 89 patients and inadequate in 16 patients. Forty-three patients were girls and 62 were boys and no statistical difference was found in function by sex. The mean Iowa Hip Score for patients under 12 years of age (n=20) was 85.8, for those between 12 and 15 years of age (n=69) it was 82.8 and for those over 15 years of age (n=16) it was 82.5 (P=0.003). There were 10 complications, all in the group in which the pin placement was considered inadequate, and all of these were considered fair or poor results. CONCLUSIONS: The functional results in the mid-term for patients with grade 3 slips treated with in situ pinning were generally good or excellent; a better result was found in patients below 12 years of age. A good or excellent result can be expected when pin placement is adequate and no complications arise.
Authors:
Pablo Castañeda; Carlos Macías; Adolfo Rocha; Alberto Harfush; Nelson Cassis
Related Documents :
19583536 - Minimally invasive hip resurfacing compared to minimally invasive total hip arthroplasty.
12820086 - Evaluation of patient concerns before total knee and hip arthroplasty.
12555186 - Effectiveness of clinical pathways for total knee and total hip arthroplasty: literatur...
7744896 - Selective posterior rhizotomy and soft-tissue procedures for the treatment of cerebral ...
23430546 - Effects of switching from agalsidase beta to agalsidase alfa in 10 patients with anders...
11552776 - Optimal treatment for distal ureteral calculi: extracorporeal shockwave lithotripsy ver...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  29     ISSN:  1539-2570     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-07-01     Completed Date:  2009-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  454-8     Citation Subset:  IM    
Affiliation:
Shriners Hospital for Children, Mexico City, Mexico. pacastaneda@shrinenet.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Bone Screws*
Child
Epiphyses, Slipped / surgery*
Female
Femur / pathology*
Follow-Up Studies
Humans
Male
Postoperative Complications / etiology
Retrospective Studies
Statistics, Nonparametric
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A modification of Klein's Line to improve sensitivity of the anterior-posterior radiograph in slippe...
Next Document:  Unusual osteocartilaginous prominence or bump causing femoroacetabular impingement after septic arth...