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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2015 / Cilt: 49 - Sayı: 1

In situ pinning of stable type mild and moderately slipped femoral capital epiphysis with single screw fixation

Femur başı epifizinin stabil tip hafif ve orta dereceli kaymasında tek vida ile olduğu pozisyonda tespit

BURAK GÜNAYDIN
Mustafa Can TAŞKIRAN
Ali TURGUT
Önder KALENDERER
Pages
40–45
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We recommend close-follow up for the other side instead of prophylactic fixation.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to evaluate the results of the patients with mild and moderate stable type SCFE treated with in situ single screw fixation without reduction.
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Key Findings & Data:Material and Method: Twelve hips of ten patients with SCFE were treated between 2000-2012.
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Conclusion & Impact:We recommend close-follow up for the other side instead of prophylactic fixation.
🔬Design:Research Article
📍Scope:2000-2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study is to evaluate the results of the patients with mild and moderate stable type SCFE treated with in situ single screw fixation without reduction. Material and Method: Twelve hips of ten patients with SCFE were treated between 2000-2012. Body mass index, range of motion (R.O.M.), slipping angles on lateral X-Ray were measured and evaluated pre and postoperatively. Heyman Herndon’s clinical and Boyer’s radiologic scoring systems were evaluated at last visit. Results: The mean age was 11.4 ±1.5 (9-14) years. Mean following time was 62 (14-119) months. According to Southwick’s method mean slipping angle was 40° (26°-50°). Mean body mass index was 27 kg/m 2 . The mean preoperative flexion, internal and external rotation of the hips were 100° (50°-120°), 12° (0°-30°), 64° (20°-90°) and the mean postoperative flexion, internal and external rotation of the hips were 119° (100°-130°), 30° (10°-60°), 62° (50°-80°). Increase in R.O.M. of flexion and internal rotation was statistically significant (p<0.05). The results of Heyman Herndon’s clinical and Boyer’s radiologic classification were fully successful. Conclusion: We believe that single screw fixation without reduction is excellent treatment method for mild and moderately slipped stable type capital femoral physis. We recommend close-follow up for the other side instead of prophylactic fixation.

Özet

Amaç: Femur başı epifiz kayması (FBEK) adölesan çağın sık görülen kalça rahatsızlıklarındandır. Tanı genellikle gecikmektedir. Çalışmanın amacı; hafif ve orta şiddetli stabil tip femur başı epifiz kayması- nın tek vida ile olduğu pozisyonda tespitinin sonuçlarını değerlendirmektir. Gereç ve Yöntem: 2000-2012 yılları arasında FBEK olan 10 hastanın, 12 kalçası tek vida ile olduğu pozisyonda tespit edildi. Tanı konduğu zaman immobilizasyon ve erken cerrahi tedavi uygulandı. Tanı anında vücut kitle indeksi (VKİ), eklem hareket açıklığı, kalça yan radyografisinde kayma açısı (karşı kalçanın normal açısı çıkarılmadan) ve ameliyat sonrası dönemde Heyman ve Herndon un klinik, Boyer in radyolojik sonuçları değerlendirildi. Bulgular: Hastaların yaş aralığı 11.4 ±1.5 (9-14) yıl ve ortalama takip süresi 62 (14-119) aydı. Southwick metoduna göre ortalama kayma açısı 40° (26-50), ortalama VKİ 27 kg/m 2 (>95 persentil) idi. Ameliyat öncesi ortalama kalça fleksiyon, iç ve dış rotasyon dereceleri sırasıyla 100° (50°-120°), 12° (0°-30°), 64° (20°-90°) ve ameliyat sonrası değerleri ise sırasıyla 119° (100°-130°), 30° (10°-60°), 62° (50°- 80°) olarak saptandı. Fleksiyon ve iç rotasyon hareket açıklık değişimleri istatistiksel olarak anlamlı idi (p<0.05). Heyman ve Herndonun klinik ve Boyerin radyolojik sonuçları başarılıydı. Sonuç: Stabil olgularda redüksiyon uygulanmadan yapılan tek vida ile tespitin başarılı bir yöntem olduğu görülmektedir. Karşı kalça için koruyucu tespit yerine yakın takip önermekteyiz.

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Cite This Article

GÜNAYDIN, B., TAŞKIRAN, M. C., TURGUT, A., KALENDERER, Ö. (2015). In situ pinning of stable type mild and moderately slipped femoral capital epiphysis with single screw fixation. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 49 - Sayı: 1, 40–45. https://ajindex.com/articles/364062

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