الفهرس | Only 14 pages are availabe for public view |
Abstract Purpose: The aim of this study was to assess the safety and efficacy of Intertrochanteric Imhäuser osteotomy (IO) combined with osteochondroplasty in treatment of moderate-severe stable slipped capital femoral epiphysis (SCFE) on short term basis. Methods: Nineteen Patients (20 hips) with moderate-severe stable SCFE were surgically treated, between 2014 - 2016, by IO combined with osteochondroplasty and followed up for 12-24 months. The cases were between 12 and 18 years at the time of surgery, and complaining of variety of symptoms that included pain, limping, limited range of motion (ROM), and/or abductor weakness. The outcomes were assessed using clinical and radiological parameters as well as functional outcomes measures (HHS and WOMAC index). Results: There were statistically significant improvement of ROM particularly flexion, internal rotation (IR), and abduction. HHS and WOMAC index were improved significantly with final follow up scores at 86.76 and 6.4%, respectively. The radiological parameters showed significant improved as regard Southwick angle (mean 12.8°), alpha angle of Nötzli (mean 29.85°), Hilgenreiner epiphyseal angle (mean 37.65°), neck shaft angle (NSA) (mean 140.63o), and acetabulo-trochanteric distance (ATD) (median14.1mm) at the end of follow up period. Conclusions: IO combined with osteochondroplasty surgery is a good option in moderate-severe stable SCFE treatment. |