Mid-Term Comparative Outcomes of BothIn Situ and Anatomically Reduced Hipsof Slipped Capital Femoral Epiphysis

Objective: Most of the previous studies have shown good functional outcomes for most patients after in situ pinning or pinning with anatomical reduction of slipped capital femoral epiphyses (SCFE). We undertook a retrospective study to document comparative outcomes of both treated groups of 25 SCFE patients.Methods: Between 2005 and 2013, 21 patients (26 hips) with SCFE underwent in situ pin-ning or pinning with anatomical reduction at a tertiary referral center. Medical records and radiographs were reviewed for slip characteristics. Magnetic resonance imaging (MRI) was performed to all patients at final visits. Mean follow-up was 139 months (range, 64 to 179).Results: There was no significant difference between in situ group and reduction group regarding range of motion (ROM), Visual Analog Scale (VAS), and Harris Hip Score (HHS) of hip (p>0.05). Mean outcome scores were; HHS 80.4, and VAS 2.9 respectively.Conclusion: Especially in the anatomic reduction group, a decrease in hip ROM was ob-served (not statistically significant) compared to the in situ group. MRI revealed atrophy of the peri-hip musculature in the reduction group. This present study may suggest that patients with SCFE whether anatomically reduced or in situ pinned may not contribute to clinical outcomes.

In Situ ve Anatomik Redükte Edilmiş Femur Başı Epifiz Kayması Olan Kalçaların Orta Dönem Karşılaştırmalı Sonuçları

Amaç: Femur başı epifiz kayması (FBEK) tedavisinde in situ pinleme ve anatomik redüksiyon sonrası pinlemenin çoğu hastada iyi fonksiyonel sonuçlar verdiği önceki çalışmalarda göstermiştir. Bu çalışmada her iki tedavi yöntemi ile tedavi edilen 25 FBEK hastalarının sonuçlarını geriye dönük ve karşılaştırmalı olarak incelemeyi amaçladık.Gereç ve Yöntem: Üçüncü basamak bir hastanede 2005–2013 yılları arasında FBEK’li 21 hastaya (26 kalça) in situ pinleme veya anatomik redüksiyon uygulanana hastalar çalışmaya dahil edildi. Tıbbi kayıtlar ve radyografiler FBEK özellikleri açısından incelendi. Son poliklinik kont-rollerinde tüm hastalara manyetik rezonans görüntülemeleri (MRG) yapıldı. Ortalama takip süresi 139 aydı (dağılım, 64–179).Bulgular:In situ pinleme ile anatomik redüksiyonla beraber pinleme grupları arasında eklem hareket açıklığı (EHA), Visual Analog Skalası (VAS) ve Harris Kalça Skoru (HKS) arasında anlamlı bir fark yoktu (p>0.05). Ortalama sonuçlar HHS için 80.4 ve VAS için 2.9 olarak bulundu.Sonuç: Özellikle anatomik redüksiyon grubunda, in situ gruba göre kalça EHA’sında bir azalma gözlendi (istatistiksel olarak anlamlı değil). Manyetik rezonans görüntüleme anatomik redüksiyon grubunda kalça çevresi kaslarında atrofi olduğunu ortaya çıkardı. Bu çalışma, FBEK’li hastaların anatomik redüksiyon sonrası veya in situ pinleme ile tedavi edilmesinin, klinik sonuçlara bir etkisinin olmayabileceği öne sürülebilir.

Kaynakça

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Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

1b367

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