Cuneiform Osteotomy of the Femoral Neck in Severe Slipped Capital Femoral Epiphysis

DeRosa, G. Paul; Rc, Mullins; Tf, Kling

doi:10.1097/00003086-199601000-00007

Cited by 52 publications

(16 citation statements)

References 37 publications

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“…To reduce the risk for osteonecrosis of the epiphysis during capital reorientation, tension of the posterosuperior retinaculum, containing the end branches of the medial femoral circumflex artery, is reportedly reduced by cuneiform wedge resection of varying size and location [12,14,16,19,45]. Removing the remainder of the growth plate provides an additional surgical step to accelerate consolidation and foster revascularization of the epiphysis [19].…”

Section: Introductionmentioning

confidence: 99%

Capital Realignment for Moderate and Severe SCFE Using a Modified Dunn Procedure

Ziebarth

Zilkens²,

Spencer³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

265

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Moderate to severe slipped capital femoral epiphysis leads to premature osteoarthritis resulting from femoroacetabular impingement. We believe surgical correction at the site of deformity through capital reorientation is the best procedure to fully correct the deformity but has traditionally been associated with high rates of osteonecrosis. We describe a modified capital reorientation procedure performed through a surgical dislocation approach. We followed 40 patients for a minimum of 1 year and 3 years from two institutions. No patient developed osteonecrosis or chondrolysis. Slip angle was corrected to 4°to 8°and the mean alpha angle after correction was 40.6°. Articular cartilage damage, full-thickness loss, and delamination were observed at the time of surgery, especially in the stable slips. This technique appears to have an acceptable complication rate and appears reproducible for full correction of moderate to severe slipped capital femoral epiphyses with open physes.

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Section: Introductionmentioning

confidence: 99%

Capital Realignment for Moderate and Severe SCFE Using a Modified Dunn Procedure

Ziebarth

Zilkens²,

Spencer³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

265

View full text Add to dashboard Cite

show abstract

“…De Rosa et al [10], while treating 27 severe slipped epiphyses in 23 adolescent patients, used a cuneiform osteotomy of the proximal neck of the femur. Average follow-up time was 8 years and 5 months.…”

Section: Discussionmentioning

confidence: 99%

“…As far as the femoral neck osteotomy is concerned, various authors use either a cuneiform [12,14] or a trapezoidal osteotomy [10,11]. The geometric forms of these osteotomies are different.…”

Section: Discussionmentioning

confidence: 99%

Trapezoid osteotomy for slipped capital femoral epiphysis

Barros

Tukiama

Fontoura³

et al. 2000

International Orthopaedics

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Twenty-three patients with chronic or acute to chronic slip of the capital femoral epiphysis were treated using a modified trapezoid osteotomy of the femoral neck. All slips were greater than 60°. After a follow-up period of 70 (54-93) months, the results were excellent or good in 18 hips, fair in 1, and poor in 4 hips. Avascular necrosis developed in 3 hips, and chondrolysis in 2.Résumé 23 patients avec épiphysiolyse fémorale supé-rieure de l'adolescent ont été traités utilisant une ostéoto-mie modifiée avec résection trapézo sous-capitale. Tous les déplacement ont été de plus de 60 degrees. La moyenne de la période d'étude a été de 70 mois (54-93 mois). On a retrouvé un resultat excellent ou bon en 18 hanches, passable en 1, et médiocre en 4 hanches. La nécrose céphalique s'est developpée en 3 hancles et la chondrolyse en 2.

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“…From 1978 to 1988, De Rosa et al treated 23 patients with slipped capital femoral epiphysis and severe displacement (n = 27) [4]. Follow-up at 8.5 years after the operation revealed that clinical outcomes were good in 19 cases, moderate in four, and poor in four.…”

Section: Figurementioning

confidence: 99%

Die subkapitale Schenkelhalsosteotomie ohne operative Hüftgelenkluxation bei Epiphyseolysis capitis femoris lenta mit hochgradigem Abrutsch

Maronna

2007

Orthop Traumatol

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Cuneiform Osteotomy of the Femoral Neck in Severe Slipped Capital Femoral Epiphysis

Cited by 52 publications

References 37 publications

Capital Realignment for Moderate and Severe SCFE Using a Modified Dunn Procedure

Capital Realignment for Moderate and Severe SCFE Using a Modified Dunn Procedure

Trapezoid osteotomy for slipped capital femoral epiphysis

Die subkapitale Schenkelhalsosteotomie ohne operative Hüftgelenkluxation bei Epiphyseolysis capitis femoris lenta mit hochgradigem Abrutsch

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