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Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement

OBJECTIVE: This study aimed to assess the principal risk factors that could lead to the most common long-term complications of slipped capital femoral epiphysis, such as avascular necrosis, chondrolysis, and hip impingement. METHODS: We conducted a single-centre, retrospective study and evaluated pa...

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Autores principales: Ulici, Alexandru, Carp, Madalina, Tevanov, Iulia, Nahoi, Catalin Alexandru, Sterian, Alin Gabriel, Cosma, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023047/
https://www.ncbi.nlm.nih.gov/pubmed/29210310
http://dx.doi.org/10.1177/0300060517731683
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author Ulici, Alexandru
Carp, Madalina
Tevanov, Iulia
Nahoi, Catalin Alexandru
Sterian, Alin Gabriel
Cosma, Dan
author_facet Ulici, Alexandru
Carp, Madalina
Tevanov, Iulia
Nahoi, Catalin Alexandru
Sterian, Alin Gabriel
Cosma, Dan
author_sort Ulici, Alexandru
collection PubMed
description OBJECTIVE: This study aimed to assess the principal risk factors that could lead to the most common long-term complications of slipped capital femoral epiphysis, such as avascular necrosis, chondrolysis, and hip impingement. METHODS: We conducted a single-centre, retrospective study and evaluated patients (70 patients, 81 hips) who were treated for slipped capital femoral epiphysis from 2010 to 2015 and who underwent pinning. We measured the severity of displacement radiologically using the Southwick angle. Postoperative radiographs were evaluated for the most frequent long-term complications of avascular necrosis (AVN), chondrolysis, and femoral acetabular impingement (FAI). RESULTS: We found seven cases of AVN, 14 cases of chondrolysis, and 31 hips had an α angle of 60°. Sex, ambulation, and symptoms did not affect development of these complications. Patients with a normal weight were almost two times more likely to develop FAI. Patients with moderate and severe slips had a similar percentage of AVN. In severe slips, 85.7% of patients had an α angle higher than 60°. CONCLUSIONS: This study shows that severe slips have a higher risk of developing AVN and hip impingement. Every patient who suffers from SCFE (even the mildest forms) should be regularly checked for FAI.
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spelling pubmed-60230472018-07-05 Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement Ulici, Alexandru Carp, Madalina Tevanov, Iulia Nahoi, Catalin Alexandru Sterian, Alin Gabriel Cosma, Dan J Int Med Res Special Issue: Surgical Treatment of Hip Pathology: From Childhood to Adulthood OBJECTIVE: This study aimed to assess the principal risk factors that could lead to the most common long-term complications of slipped capital femoral epiphysis, such as avascular necrosis, chondrolysis, and hip impingement. METHODS: We conducted a single-centre, retrospective study and evaluated patients (70 patients, 81 hips) who were treated for slipped capital femoral epiphysis from 2010 to 2015 and who underwent pinning. We measured the severity of displacement radiologically using the Southwick angle. Postoperative radiographs were evaluated for the most frequent long-term complications of avascular necrosis (AVN), chondrolysis, and femoral acetabular impingement (FAI). RESULTS: We found seven cases of AVN, 14 cases of chondrolysis, and 31 hips had an α angle of 60°. Sex, ambulation, and symptoms did not affect development of these complications. Patients with a normal weight were almost two times more likely to develop FAI. Patients with moderate and severe slips had a similar percentage of AVN. In severe slips, 85.7% of patients had an α angle higher than 60°. CONCLUSIONS: This study shows that severe slips have a higher risk of developing AVN and hip impingement. Every patient who suffers from SCFE (even the mildest forms) should be regularly checked for FAI. SAGE Publications 2017-12-06 2018-06 /pmc/articles/PMC6023047/ /pubmed/29210310 http://dx.doi.org/10.1177/0300060517731683 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Issue: Surgical Treatment of Hip Pathology: From Childhood to Adulthood
Ulici, Alexandru
Carp, Madalina
Tevanov, Iulia
Nahoi, Catalin Alexandru
Sterian, Alin Gabriel
Cosma, Dan
Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
title Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
title_full Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
title_fullStr Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
title_full_unstemmed Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
title_short Outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
title_sort outcome of pinning in patients with slipped capital femoral epiphysis: risk factors associated with avascular necrosis, chondrolysis, and femoral impingement
topic Special Issue: Surgical Treatment of Hip Pathology: From Childhood to Adulthood
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023047/
https://www.ncbi.nlm.nih.gov/pubmed/29210310
http://dx.doi.org/10.1177/0300060517731683
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