Desenlaces clínicos y radiológicos de pacientes con deslizamiento epifisiario capital femoral según el tipo de tratamiento

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI:10.1016/j.rccot.2022.06.005

Angela María Gómez García , Luis Leonardo Carvajal Calderón , Carolina Carvajal Barrera , Eduardo González Edery , Wilmer Uriel Palencia Bocarejo , Julián David Rincón Lozano , Martha Lorena Caicedo-Gutiérrez , Sergio Alejandro Nossa Almanza

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Abstract

Introduction

Slipped capital femoral epiphysis (SCFE), is a pathology with no consensus in its treatment and with variable complication rates depending on the technique.

Materials and methods

Description of the clinical and radiographic outcomes of an SCFE patients cohort treated in our hospital between 2012 and 2015. We evaluated the association between clinical characteristics and avascular necrosis of the femoral head (AVN) using raw RR and Mantel-Haenszel adjusted RR.

Results

71 patients were included, mean age was 13.1 years, pre-surgical Southwick angle was 46.9° (12°-100°). Sixteen cases were mild (22.5%), 38 moderate (53.5%) and 17 severe (23.9%). We found six cases of AVN after surgical dislocation (23% or 24%) and one case after percutaneous techniques (2,2%) (p=0,05).

Conclusion

We did not find association between the variables age, BMI and sex with AVN. There is an association between this outcome and the surgical technique.

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根据治疗类型对股骨底底滑移患者的临床和放射学结果

股骨头骨骺滑动(SCFE)是一种病理，其治疗方法尚无共识，其并发症发生率随技术的不同而变化。材料与方法描述2012年至2015年在我院治疗的一组SCFE患者的临床和影像学结果。我们使用原始RR和Mantel-Haenszel校正RR评估临床特征与股骨头缺血性坏死(AVN)之间的关系。结果入选患者71例，平均年龄13.1岁，术前Southwick角为46.9°(12°~ 100°)。轻度16例(22.5%)，中度38例(53.5%)，重度17例(23.9%)。我们发现6例手术脱位后AVN(23%或24%)，1例经皮穿刺后AVN (2.2%) (p= 0.05)。结论年龄、BMI、性别等变量与AVN无相关性。这种结果与手术技术有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista Colombiana de Ortopedia y Traumatología

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