Gait Outcomes of Patients With Severe Slipped Capital Femoral Epiphysis After Treatment by Flexion-Rotation Osteotomy

Abstract

Level IV.

Correlation of Functional and Radiological Results with Three-Dimensional Gait Analysis in Patients with Unilateral Slipped Capital Femoral Epiphysis

“…For example, in patients with SCFE with moderate and severe slip, the decrease in hip joint ROM was found to be the same, which was linked to metaphyseal changes in the femoral neck during remodeling [24]. In addition to this information, it has been demonstrated that both short-term improvement in patient's score and radiologic deformity can be achieved with corrective osteotomies [23]. It has also been shown that a corrective osteotomy may be useful to prevent possible hip arthrosis in longterm follow-ups [24].…”

“…At the last follow-up, the slip side hip range of motion (ROM) was measured as follows: mean hip flexion 118.2 0 (100-140), mean hip extension 280 (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), mean hip abduction 50.1 0 (45-60), mean hip adduction 45.4 0 (35-50), mean hip internal rotation (IR) 28 0 (0-50), mean hip external rotation (ER) 51 0 (45-60).…”

“…In this case, the line parallel to the femoral neck axis can be used. However, this measurement yields different results than the angular values measured by the line connecting the midpoint between the narrowest level of the femoral neck and the center of the femoral head [16,23]. Therefore, we must be careful when planning surgical treatment of head-neck deformity with open or arthroscopic osteoplasty.…”

Application of the Gillette Gait Index, Gait Deviation Index and Gait Profile Score to multiple clinical pediatric populations

“…Group 3 had a diagnosis of idiopathic excessive tibial torsion (TT) treated with derotational tibial osteotomies (n = 25) [24]. Group 4 had a diagnosis of severe slipped capital femoral epiphysis (SCFE) treated with a flexion-rotation osteotomy (n = 8) [25]. Group 5 had a diagnosis of genu valgum (GV) treated with femoral hemiepiphysis (n = 31) [26].…”

Yürüme analizindeki yenilikler

“…[14] YSİ artık sadece SP hastalarında değil, Batten hastalığı, kas distrofisi, alt ekstremite amputeleri, Parkinson hastalığı, koksartroz ve romatoid artrit, femur başı epifizi kayması ve lomber spinal stenoz gibi hastalıklarda da uygulanmaktadır. [12,[21][22][23][24][25][26][27][28][29] Normalite indeksi ve YSİ yürüme kalitesinin kinematik analizinde tüm değişkenlerin ayrı ayrı anlatılmasından ziyade, tek bir parametre ile belirtilmesi prensibine dayanır. Aralarındaki fark Nİ'de, referans veri grubunda oldukça fazla sayıda insan gerektirmesi ve farklı referans veri grupları arasında bu değerlerin önemli ölçüde farklılık göstermesidir.…”