Physeal Remodeling after Internal Fixation of Slipped Capital Femoral Epiphysis.
10.12701/yujm.2003.20.1.28
- Author:
Se Dong KIM
1
;
Byung Won PARK
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Yeungnam University, Daegu, Korea. sdk@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Slipped capital femoral epiphysis;
Physeal remodeling
- MeSH:
Child;
Follow-Up Studies;
Humans;
Incidence;
Medical Records;
Osteotomy;
Retrospective Studies;
Slipped Capital Femoral Epiphyses*
- From:Yeungnam University Journal of Medicine
2003;20(1):28-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate physeal remodeling after internal fixation of slipped capital femoral epiphysis, We performed a retrospective review of the medical records and radiographs of 14 children (17 cases) who had had slipped capital femoral epiphysis. MATERIALS AND METHODS: We reviewed 14 patients who had slipped capital femoral epiphysis. They were divided two groups. Group I were in situ pinning with single screw and group II were corrective osteotomy with multiple pinning. We identified physeal remodeling camparing with their preoperative, postoperative and last follow-up radiographs with measuring physeal- shaft angle. RESULTS: Early closure of the physis was observed in 6 cases among 14 patients (17 hips). Compared with their postoperative radiographs, the last follow up radiographic study revealed that physeal remodeling was observed in 4 patients (4 hips) at group I (mean, 7.8degree), in 2 patients (3 hips) at group II (mean, 10.7degree). CONCLUSION: In this study, physeal remodeling was observed in 4 patients (4 hips) in group I and 2 patients (3 hips) in group II. The incidence of physeal remodeling was related with degree of epiphyseal slippage, and age was not related with physeal remodeling potential.
