Outcome of the unaffected contralateral hip in unilateral slipped capital femoral epiphysis: a report comparing prophylactic fixation with observation

被引：7
作者：
Bhattacharjee, Atanu [1 ]
Freeman, Robert [1 ]
Roberts, Andrew P. [1 ]
Kiely, Nigel T. [1 ]
机构：
[1] Robert Jones & Agnes Hunt Orthopaed Hosp NHS Fdn, Oswestry SY10 7AG, Shrops, England
来源：
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2016年 / 25卷 / 05期
关键词：
contralateral hip; sequential slip; slipped capital femoral epiphysis; POSTERIOR SLOPING ANGLE; INVOLVEMENT; PREDICTION;
D O I：
10.1097/BPB.0000000000000337
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
This was a retrospective review of 80 patients with unilateral slipped capital femoral epiphysis treated with either prophylactic fixation or observation. The unaffected hip of 44 patients (mean age 12.6 years) were subjected to simultaneous prophylactic fixation and 36 patients (mean age 13.4 years) were managed by observation. Fisher's exact test showed a significantly high incidence of sequential slip of unaffected hips in the observation group in comparison with prophylactic fixation (P=0.002). No cases had avascular necrosis or chondrolysis. Prophylactic fixation significantly reduces the incidence of sequential slip. It outweighs the minimal surgical risks compared with its benefit in the prevention of further sequential slip. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码：454 / 458
页数：5
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