FUNCTIONAL RESULTS OF OPERATIVE TREATMENT IN SLIPPED EPIPHYSIS
ADAMCZYK Jakub, SZCZĘŚNIAK Andrzej, JASIEWICZ Barbara, TĘSIOROWSKI Maciej
Klinika Ortopedii i Rehabilitacji UJ CM, ul. Balzera 15, 34-500 Zakopane.
Slipped capital femoral epiphysis in adolescents (SCFE) is a well known disease occurring mostly in the age between 9 and 16. Despite of proper diagnosis and treatment, it may cause permanent deformity of a hip joint and limitation in everyday life.
The goal of this study is to evaluate the influence of underwent SCFE on young adults’ professional and everyday activity.
Patients with SCFE treated surgically by stabilization with Kirchner wires were included in this study. There were inclusion criteria: answer to functional questionnaire and full pre- and post operative radiologic data. In the years 1985-2000 in our hospital 35 patients were operated on for SCFE, 13 of them responded to a questionnaire. There were 6 females and 7 males in the evaluated group, with mean age of 28.4 years. Mean preoperative slip angle in AP view was 10.9°, in axial view 27,5°. Patients underwent surgical stabilization with K-wires bundle in mean age of 13.4. The mean follow up was 14.9 years. Mean follow up slip angle in AP view was 7,6°, in axial view 22,1°.
Among respondents, 6 patients completed high school, 7 – vocational education. All of them were satisfied with the underwent treatment. None of the patients was additionally operated on during the follow up period. Only 3 patients were complaining of hip pain, but none of them used analgetics. Limp occurred in 3 patients. Disease of the hip joint followed by surgery did not have any influence on patients’ present social, professional or sport activity in 11 cases, while 2 patients noted a small influence. In the field of physical activity, 8 patients play sport. The study did not show any correlation between the slip angle in both views and an appearance of any symptoms or functional restriction.
In spite of a limited statistical value of our research, caused by a low rate of return of the questionnaire, the study shows that SCFE treated surgically does not result in early disablility or restrictions of daily activity.
Keywords: slipped femoral head, epiphysiolysis of the femoral head, in situ pinning, surgery, slipped capital femoral epiphysis
Original language: Polish