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Slipped capital femoral epiphysis in southern Sweden. Long-term results after femoral neck osteotomy

Hagglund, G. LU ; Hansson, L. I. ; Ordeberg, G. and Sandstrom, S. (1986) In Clinical Orthopaedics and Related Research 210(Sep). p.152-159
Abstract

Opinions differ concerning the treatment of choice for severe slipped capital femoral epiphysis, probably due to the lack of long-term follow-up evaluations on the different methods of treatment. A series of 33 patients with severe slipped capital femoral epiphysis, treated per primam with wedge osteotomy of the femoral neck, were radiographically and clinically reexamined an average of 28 years (range, 16-32 years) after the operation. Segmental collapse and/or chondrolysis developed in ten patients. Nine of these patients were available for rexamination and all had severe arthrosis with poor function. Arthrosis developed in nine of the 19 patients without signs of segmental collapse or chondrolysis; these patients had a satisfactory... (More)

Opinions differ concerning the treatment of choice for severe slipped capital femoral epiphysis, probably due to the lack of long-term follow-up evaluations on the different methods of treatment. A series of 33 patients with severe slipped capital femoral epiphysis, treated per primam with wedge osteotomy of the femoral neck, were radiographically and clinically reexamined an average of 28 years (range, 16-32 years) after the operation. Segmental collapse and/or chondrolysis developed in ten patients. Nine of these patients were available for rexamination and all had severe arthrosis with poor function. Arthrosis developed in nine of the 19 patients without signs of segmental collapse or chondrolysis; these patients had a satisfactory joint function. This series was compared with another series (from the same orthopedic departments) of patients with severe slip without any primary treatment. The long-term results in these two groups were similar; consequently, the value of realignment by wedge osteotomy of the femoral neck is questionable.

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author
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publishing date
type
Contribution to journal
publication status
published
in
Clinical Orthopaedics and Related Research
volume
210
issue
Sep
pages
8 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:3757355
  • scopus:0022543550
ISSN
0009-921X
language
English
LU publication?
no
id
bd1ec0dc-17c7-4c31-8014-1f94bc32e4b1
date added to LUP
2019-06-25 10:02:20
date last changed
2024-01-01 12:56:28
@article{bd1ec0dc-17c7-4c31-8014-1f94bc32e4b1,
  abstract     = {{<p>Opinions differ concerning the treatment of choice for severe slipped capital femoral epiphysis, probably due to the lack of long-term follow-up evaluations on the different methods of treatment. A series of 33 patients with severe slipped capital femoral epiphysis, treated per primam with wedge osteotomy of the femoral neck, were radiographically and clinically reexamined an average of 28 years (range, 16-32 years) after the operation. Segmental collapse and/or chondrolysis developed in ten patients. Nine of these patients were available for rexamination and all had severe arthrosis with poor function. Arthrosis developed in nine of the 19 patients without signs of segmental collapse or chondrolysis; these patients had a satisfactory joint function. This series was compared with another series (from the same orthopedic departments) of patients with severe slip without any primary treatment. The long-term results in these two groups were similar; consequently, the value of realignment by wedge osteotomy of the femoral neck is questionable.</p>}},
  author       = {{Hagglund, G. and Hansson, L. I. and Ordeberg, G. and Sandstrom, S.}},
  issn         = {{0009-921X}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{Sep}},
  pages        = {{152--159}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Clinical Orthopaedics and Related Research}},
  title        = {{Slipped capital femoral epiphysis in southern Sweden. Long-term results after femoral neck osteotomy}},
  volume       = {{210}},
  year         = {{1986}},
}