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العنوان
Short Term Outcome of Intertrochanteric Osteotomy Combined with Osteochondro plasty in
Slipped Capital Femoral Epiphysis
الناشر
faculty of medicine
المؤلف
Mahmoud,Shady Abdel ghaffar Hanafy
هيئة الاعداد
باحث / شادي عبد الغفار حنفي محمود
مشرف / الأستاذ الدكتور / طارق حسن عبد العزيز
مشرف / الدكتور / أيمن حسين جودة
مشرف / الدكتور / شادي سمير البشري
الموضوع
Intertrochanteric Osteotomy Osteochondro plasty Slipped Capital Femoral Epiphysis
تاريخ النشر
2018
عدد الصفحات
211 P.
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

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Abstract

Purpose: The aim of this study was to assess the safety and efficacy of Intertrochanteric Imhäuser osteotomy (IO) combined with osteochondroplasty in treatment of moderate-severe stable slipped capital femoral epiphysis (SCFE) on short term basis.
Methods: Nineteen Patients (20 hips) with moderate-severe stable SCFE were surgically treated, between 2014 - 2016, by IO combined with osteochondroplasty and followed up for 12-24 months. The cases were between 12 and 18 years at the time of surgery, and complaining of variety of symptoms that included pain, limping, limited range of motion (ROM), and/or abductor weakness. The outcomes were assessed using clinical and radiological parameters as well as functional outcomes measures (HHS and WOMAC index).
Results: There were statistically significant improvement of ROM particularly flexion, internal rotation (IR), and abduction. HHS and WOMAC index were improved significantly with final follow up scores at 86.76 and 6.4%, respectively. The radiological parameters showed significant improved as regard Southwick angle (mean 12.8°), alpha angle of Nötzli (mean 29.85°), Hilgenreiner epiphyseal angle (mean 37.65°), neck shaft angle (NSA) (mean 140.63o), and acetabulo-trochanteric distance (ATD) (median14.1mm) at the end of follow up period.
Conclusions: IO combined with osteochondroplasty surgery is a good option in moderate-severe stable SCFE treatment.