論文

2017年8月

Residual Femoral Deformity and Femoroacetabular Impingement after Intertrochanteric Osteotomy for Slipped Capital Femoral Epiphysis.

Acta medica Okayama
  • Yosuke Fujii
  • ,
  • Hirosuke Endo
  • ,
  • Shigeru Mitani
  • ,
  • Hirofumi Akazawa
  • ,
  • Tomonori Tetsunaga
  • ,
  • Takamasa Miyake
  • ,
  • Kazuki Yamada
  • ,
  • Kiyoshi Aoki
  • ,
  • Toshifumi Ozaki

71
4
開始ページ
315
終了ページ
323
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.18926/AMO/55308

We retrospectively reviewed 29 hips in which intertrochanteric osteotomies were performed for severe slipped capital femoral epiphyses. Mean age at surgery: 12.6 years. Mean follow-up period: 6 years. At the final follow-up evaluation, one patient had coxalgia, and six hips showed a limited range of motion. A pistol-grip deformity was observed in 13 hips, osteoarthritis in two hips, and a bump existed in 19 hips on the latest radiographs. Gradual remodeling of the bumps was observed post-operatively in 22 hips. The mean α and β angles and offset α and β improved over time. The remodeling proceeded rapidly for 1 year post-surgery. We compared hips classified as β angles of ≥ 63° to < 63° at the final follow-up evaluation, the mean β angle 1 year post-surgery, and the mean ratio of improvement of the β angle per year from 1 year post-surgery to the final follow up, which differed significantly. Nearly all of the patients who underwent intertrochanteric osteotomies had residual morphologic abnormalities, but few had clinical symptoms. The β angle 1 year post-surgery and the ratio of remodeling of the bump from 1 year post-surgery to the final follow-up can be regarded as a potential predictor of morphologic results after intertrochanteric osteotomy.

リンク情報
DOI
https://doi.org/10.18926/AMO/55308
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28824187
ID情報
  • DOI : 10.18926/AMO/55308
  • PubMed ID : 28824187

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