Slipped Capital Femoral Epiphysis (SCFE)

Zilkens, Christoph; Bittersohl, Bernd; Kim, Young-Jo; Millis, Michael B.; Krauspe, Rüdiger

doi:10.1007/978-3-642-34746-7_175

Cited by 3 publications

(4 citation statements)

References 83 publications

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“…Risk factors for epiphyseal necrosis, with incidence ranging from 4.7% to 58% [3,13,23,34] in clinically unstable slips, are still unclear [30] although the prevailing opinion is vascular injury at the initial displacement [1,15,22,27,29]. Further risk factors are timing of surgery, intracapsular pressure [25,30,37], applied reduction force, amount of reduction [34], but also younger patient age [30]. However, traditional studies based on clinical and radiographic data have not been able to identify the exact cause of avascular necrosis [21].…”

Section: Discussionmentioning

confidence: 99%

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Slipped Capital Femoral Epiphysis: Relevant Pathophysiological Findings With Open Surgery

Ziebarth

Leunig

Slongo

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Traditionally arthrotomy has rarely been performed during surgery for slipped capital femoral epiphysis (SCFE). As a result, most pathophysiological information about the articular surfaces was derived clinically and radiographically. Novel insights regarding deformity-induced damage and epiphyseal perfusion became available with surgical hip dislocation. Questions/purposes We (1) determined the influence of chronicity of prodromal symptoms and severity of SCFE deformity on severity of cartilage damage. (2) In surgically confirmed disconnected epiphyses, we determined the influence of injury and time to surgery on epiphyseal perfusion; and (3) the frequency of new bone at the posterior neck potentially reducing perfusion during epimetaphyseal reduction. Methods We reviewed 116 patients with 119 SCFE and available records treated between 1996 and 2011. Acetabular cartilage damage was graded as +/++/+++ in 109 of the 119 hips. Epiphyseal perfusion was determined with laser-Doppler flowmetry at capsulotomy and after reduction. Information about bone at the posterior neck was retrieved from operative reports.

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Section: Discussionmentioning

confidence: 99%

“…The timing of surgery and reduction of the epiphysis as well as need for capsular decompression are controversial [21,25,30] although some authors recommend emergent treatment and gentle reduction [20,25,37]. On the other hand, the rate of necrosis may be as high as 58% when total or substantial reduction is obtained [34].…”

Section: Introductionmentioning

confidence: 99%

Slipped Capital Femoral Epiphysis: Relevant Pathophysiological Findings With Open Surgery

Ziebarth

Leunig

Slongo

et al. 2013

Clinical Orthopaedics &Amp; Related Research

Self Cite

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“…Differences in radiographic improvements were measured by comparing pre-and postoperative X-rays of patients, specifically the Southwick angle, which gives an indication of the severity of SCFE. Mild SCFE is classified at < 30°, moderate is 30°-50°, severe is > 50° [22]. The Southwick angle is a radiographic angle used to measure the severity of a slipped capital femoral epiphysis (SCFE) on a radiograph (Fig.…”

Section: Outcome Assessmentmentioning

confidence: 99%

The clinical value of preoperative 3D planning and 3D surgical guides for Imhäuser osteotomy in slipped capital femoral epipysis: a retrospective study

Lagerburg,

van den Boorn,

Vorrink

et al. 2024

3D Print Med

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Background Accurate repositioning of the femoral head in patients with Slipped Capital Femoral Epiphysis (SCFE) undergoing Imhäuser osteotomy is very challenging. The objective of this study is to determine if preoperative 3D planning and a 3D-printed surgical guide improve the accuracy of the placement of the femoral head. Methods This retrospective study compared outcome parameters of patients who underwent a classic Imhäuser osteotomy from 2009 to 2013 with those who underwent an Imhäuser osteotomy using 3D preoperative planning and 3D-printed surgical guides from 2014 to 2021. The primary endpoint was improvement in Range of Motion (ROM) of the hip. Secondary outcomes were radiographic improvement (Southwick angle), patient-reported clinical outcomes regarding hip and psychosocial complaints assessed with two questionnaires and duration of surgery. Results In the 14 patients of the 3D group radiographic improvement was slightly greater and duration of surgery was slightly shorter than in the 7 patients of the classis Imhäuser group. No difference was found in the ROM, and patient reported clinical outcomes were slightly less favourable. Conclusions Surprisingly we didn’t find a significant difference between the two groups. Further research on the use of 3D planning an 3D-printed surgical guides is needed. Trial registration Approval for this study was obtained of the local ethics committees of both hospitals.

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“…Differences in radiographic improvements were measured by comparing pre-and postoperative X-rays of patients, speci cally the Southwick angle, which gives an indication of the severity of SCFE. Mild SCFE is classi ed at < 30°, moderate is 30°-50°, severe is > 50° [20]. The Southwick angle is a radiographic angle used to measure the severity of a slipped capital femoral epiphysis (SCFE) on a radiograph [21].…”

Section: Outcome Assessmentmentioning

confidence: 99%

The clinical value of preoperative 3D planning and 3D surgical guides for Imhäuser osteotomy in Slipped Capital Femoral Epipysis: a retrospective study

lagerburg,

BOORN,

VORRINK

et al. 2023

Preprint

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Background Accurate repositioning of the femoral head in patients with Slipped Capital Femoral Epiphysis (SCFE) undergoing Imhäuser osteotomy is very challenging. The objective of this study is to determine if preoperative 3D planning and a 3D-printed surgical guide improve the accuracy of the placement of the femoral head.Methods This retrospective study compared outcome parameters of patients who underwent a classic Imhäuser osteotomy from 2009 to 2013 with those who underwent an Imhäuser osteotomy using 3D preoperative planning and 3D-printed surgical guides from 2014 to 2021. The primary endpoint was improvement in Range of Motion (ROM) of the hip. Secondary outcomes were radiographic improvement (Southwick angle), patient-reported clinical outcomes regarding hip and psychosocial complaints assessed with two questionnaires and duration of surgery.Results In the 14 patients of the 3D group radiographic improvement was slightly greater and duration of surgery was slightly shorter than in the 7 patients of the classis Imhäuser group. No difference was found in the ROM, and patient reported clinical outcomes were slightly less favourable.Conclusions Surprisingly we didn’t find a significant difference between the two groups. Further research on the use of 3D planning an 3D-printed surgical guides is needed.Trial registration Approval for this study was obtained of the local ethics committees of both hospitals.

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Slipped Capital Femoral Epiphysis (SCFE)

Cited by 3 publications

References 83 publications

Slipped Capital Femoral Epiphysis: Relevant Pathophysiological Findings With Open Surgery

Slipped Capital Femoral Epiphysis: Relevant Pathophysiological Findings With Open Surgery

The clinical value of preoperative 3D planning and 3D surgical guides for Imhäuser osteotomy in slipped capital femoral epipysis: a retrospective study

The clinical value of preoperative 3D planning and 3D surgical guides for Imhäuser osteotomy in Slipped Capital Femoral Epipysis: a retrospective study

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