Slipped Capital Femoral Epiphysis Following Ipsilateral Femoral Fracture

Ogden, John A.; Gossling, Harry R.; Southwick, Wayne O.

doi:10.1097/00003086-197507000-00021

Cited by 22 publications

(18 citation statements)

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“…We have been able to locate only two reports of this association. 5,12 The interval between the initial injury and the epiphyseal separation in the current case was only 5 weeks, and the physeal separation occurred immediately after the child resumed walking. This suggests that the causative factor was not prolonged repetitive loading of an abnormally inclined growth plate seen in the previously reported patient with the malunited femoral neck fracture.…”

Section: Discussionmentioning

confidence: 75%

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Slipped capital femoral epiphysis after ipsilateral femoral neck fracture in an 11-year-old girl

2005

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Section: Discussionmentioning

confidence: 75%

“…[8][9][10][11] In the literature, delayed separation of the capital femoral epiphysis after a fracture of the femoral neck is very uncommon. 5,12 We report one such case, which went on to heal with evidence of avascular necrosis.…”

Section: Introductionmentioning

confidence: 96%

Slipped capital femoral epiphysis after ipsilateral femoral neck fracture in an 11-year-old girl

2005

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“…Odgen et al [27] detected a shift in femur proximal epiphysis in two cases with coxa vara. Again, Lahoti et al [28] reported that they have observed epiphysiolysis in two children treated with derotation varus osteotomy for developmental hip dislocation and have treated both cases with valgisation osteotomy.…”

Section: Femoral Neck Varusmentioning

confidence: 94%

“…Chung et al stated that this shearing stress increases with age [36] . Particularly when neck-shaft angle is reduced to 90, the physis line takes an almost vertical position which constitutes a risk with respect to epiphysiolysis [27,28] . Pauwels 1980 [29] has suggested that this will cause a faster growth rate medially than laterally, which will eventually correct the orientation of the growth plate and cause progressive correction of the varus.…”

Section: Femoral Neck Varusmentioning

confidence: 99%

Review Outcome of Combined Open Reduction and Femoral Shortening Osteotomy for Developmental Dysplasia of the Hip in Children

Hưng¹,

Duc²

2017

International Journal of Orthopaedics

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“…It is known that the formation of coxa vara will increase the burden on the medial physis line and this in turn will accelerate medial augmentation leading, probably, to new vagus formation in the hip [7,[9][10][11]. However, varus osteotomy has some drawbacks during or after the operation and at the late stage [12][13][14]. Therefore, this procedure should be implemented only after thorough risk-benefit evaluation.…”

Section: Introductionmentioning

confidence: 99%

Is varus osteotomy necessary in one-stage treatment of developmental dislocation of the hip in older children?

Arslan

Kapukaya

Bekler

et al. 2007

Journal of Children's Orthopaedics

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Purpose Innominate osteotomy, varisation–derotation osteotomy, and shortening osteotomy are the most common surgical procedures used to achieve pelvifemoral realignment in the treatment of children over three years of age with developmental hip dislocation. It is well known that varus osteotomy can improve the acetabular index but it does have some disadvantages. The aim of this study was to discuss the results obtained with patients treated only with Salter osteotomy, derotation osteotomy, and shortening, without varus osteotomy, and to evaluate the need for varisation on the basis of these results. Methods Between 1996 and 2001, twenty-four hips, sixteen unilateral and four bilateral, of a total of twenty patients treated with this method and available for final controls were evaluated. The study included sixteen female and four male patients with a mean age of 4 years 2 months (ranging between 2 years 10 months and 8 years). The mean follow-up period was determined as 6.57 years (range 5–10 years). McKay’s clinical criteria, Sever’s radiological criteria, and the evaluation system modified by Trevor et al. were used for evaluation of the results. Results Based on McKay’s clinical criteria, eighteen hips (75%) were classified as type I, four hips (16%) as type II, and two hips (9%) as type III. According to Sever’s radiological criteria, thirteen hips (54%) were graded as grade I, nine hips (37.5%) as grade II, and two (8.5%) as grade III. According to the modified evaluation system of Trevor et al. the results were categorized as excellent in thirteen hips, good in nine hips, and moderate in two hips. Pre-operative mean acetabular index was measured as 37.3° (28°–50°) and early post-operative mean acetabular index as 26° (18°–38°). In the final radiological examination the mean acetabular index was measured as 18.3° and the mean CE angle as 30.1° (15°–38°). Avascular necrosis affecting the results developed in five hips. Conclusion It is concluded that in older children with developmental dislocation of the hip (DDH) treated with one-stage combined surgical intervention, adequately stable concentric reduction can be achieved without varisation and that varus osteotomy is not always necessary.

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Slipped Capital Femoral Epiphysis Following Ipsilateral Femoral Fracture

Cited by 22 publications

References 0 publications

Slipped capital femoral epiphysis after ipsilateral femoral neck fracture in an 11-year-old girl

Slipped capital femoral epiphysis after ipsilateral femoral neck fracture in an 11-year-old girl

Review Outcome of Combined Open Reduction and Femoral Shortening Osteotomy for Developmental Dysplasia of the Hip in Children

Is varus osteotomy necessary in one-stage treatment of developmental dislocation of the hip in older children?

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