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Revista de Especialidades Médico-Quirúrgicas

Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
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2017, Number 3

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Rev Esp Med Quir 2017; 22 (3)

Good functional results in management with single trascervical screw in slipped capital femoral epiphysis

Campos-Alonso EJ, Mora-Rios FG, Mejía-Rohenes LC, Valdez-Flores JM, Rodríguez-Rivera FA
Full text How to cite this article

Language: Spanish
References: 11
Page: 104-109
PDF size: 970.90 Kb.


Key words:

Proximal femoral epiphyseal slip, Surgical treatment, Single Screw, Functional results.

ABSTRACT

Background: Slipped capital femoral epiphysis is a rare disease between 8 and 15 years of age, the sliding of the femoral head over the proximal metaphysis requires surgical approach in most cases, with different correction techniques, and significant morbidity associated with avascular necrosis. In the Hospital General Ignacio Zaragoza, the initial experience showed high morbidity, modifying recently the technique of correction of this pathology to the use of single screw.
Objective: To present functional outcomes with single transcervical screw in slipped capital femoral epiphysis at the Hospital General Ignacio Zaragoza.
Material and Methods: It is a retrospective, cross-sectional descriptive study, with systematic review of records pertaining to patients diagnosed with slipped capital femoral epiphysis and treated with single transcervical screw, and to which functional assessment was done with the Dunn and Angel classification.
Results: Twenty patients with slipped capital femoral epiphysis treated surgically whit single transcervical screw were found, 14 with good results and 6 with regular outcomes.
Conclusions: The use of the single transcervical screw in capital femoral epiphysis is an indicated technique, with favorable and functional results for patients.


REFERENCES

  1. Peck D. Slipped capital femoral epiphysis: diagnosis and management. Am Fam Physician. 2010;82(3):258-62.

  2. Pérez Fierro CH. Epifisiolistesis femoral proximal. El Residente. 2008;3(2):37-42.

  3. Verdeja Morales E, Zavala Morales A, Gómez Gutiérrez FJ, et al. Deslizamiento epifisiario de fémur proximal en adolescentes. Factor de riesgo. Acta Ortopédica Mexicana. 2012;26(1):3-9.

  4. Perry D, Monsell F, Ramachandran M, et al.; BOSS Collaborative Members. Management of slipped capital femoral epiphysis (SCFE). JTO Peer-Reviewed Articles. 2016;4(2):52-57.

  5. Martínez Álvarez S, Martínez González C, Miranda Gorozarri JC, et al. Epifisiolisis de la cabeza femoral. Rev Esp Cir Ortop Traumatol. 2012;56(6):506-14.

  6. Cardona Cuartas D, Gallón LA. Experiencia con el manejo del deslizamiento de la epífisis femoral proximal con un tornillo canulado de hospital universitario del valle entre 1995-2002. Ortopedia Infantil. 2004;18(3):57-65.

  7. Bertrand Álvarez D, Pena Vázquez J, Solís Gómez A, et al. Epifisiolisis femoral proximal. Rev Ortop Traumatol. 2005;49:334-40.

  8. Praglia F, Dalla Pozza DV, Sueiro J, et al. Deslizamientos epifisiarios femorales proximales >30°. Procedimiento de Dunn modificado Evaluación anatómica y funcional en una cohorte retrospectiva. Rev Asoc Argent Ortrop Traumatol. 2013;78(4):199-209.

  9. Schoenecker PL, Gordon JE, Luhmann SJ, et al. A treatment algorithm for slipped capital femoral epiphysis deformity. J Pediatr Orthop. 2013;33(suppl 1): 103-11.

  10. Mooney JF 3rd, Podezwa DA. The management of slipped capital femoral epiphysis. J Bone Joint Surg Br. 2005;87(7):1024-25.

  11. Salaverri M. Deslizamiento epifisiario de cabeza femoral. Rev Esp Cir Ortop Traumatol. 2005;49(1):5-10.




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Rev Esp Med Quir. 2017;22