Evolução do escorregamento epifisário proximal do fêrmur após tratamento não cirúrgico

Santili, Cláudio; Akkari, Miguel; Waisberg, Gilberto; Braga, Susana Reis; Kasahara, Akemi; Perez, Mauro Coura

doi:10.1590/s0102-36162010000500004

Rev. bras. ortop.

2010

DOI: 10.1590/s0102-36162010000500004

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Evolução do escorregamento epifisário proximal do fêrmur após tratamento não cirúrgico

Cláudio Santili¹,

Miguel Akkari²,

Gilberto Waisberg³

et al.

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Chronic slipped capital femoral epiphysis

Junior

Akkari²,

Waisberg³

et al. 2013

Journal of Pediatric Orthopaedics B

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The aim of this study was to evaluate the radiographic correction and the complications in Southwick osteotomy for slipped capital femoral epiphysis (SCFE) on the basis of radiographic evaluation. We retrospectively analyzed the charts of 37 patients with chronic, unilateral, moderate, or severe SCFE, who underwent the procedure, verifying Southwick angles, articulotrochanteric distance, and the articular narrowing on preoperative, postoperative periods, and in the last follow-up evaluation, using the contralateral, healthy hip, for comparison. Southwick's angle changed from 117.8 to 147.3° on average (front) and from 56.9 to 19.1° (Lauenstein view). Articulotrochanteric distance changed from 11.3 to 24.1 mm (normal distance 22.1 mm). Joint space changed from 4.3 mm preoperatively to 3.84 mm. Chondrolysis was diagnosed in five cases before and eight cases after surgery. There was no case of avascular necrosis. Southwick osteotomy effectively corrected SCFE deformity. There was a tendency toward excessive valgism.

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Chronic slipped capital femoral epiphysis

Junior

Akkari²,

Waisberg³

et al. 2013

Journal of Pediatric Orthopaedics B

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Evolução do escorregamento epifisário proximal do fêrmur após tratamento não cirúrgico

Cited by 1 publication

References 1 publication

Chronic slipped capital femoral epiphysis

Chronic slipped capital femoral epiphysis

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