Abstract
We performed transtrochanteric rotational osteotomy to treat severe slipped capital femoral epiphysis in four young patients. All four male patients, with an age range of 12–22 years, were followed for an average of 2 years and 10 months. The JOA score of 37 points preoperatively improved to an average of 90 points postoperatively. The posterior tilt angle (PTA) of 82° preoperatively improved to an average of 24° postoperatively. The flexion angle of the affected hip joint in neutral improved from 10°–25° to 70°–90°. Although one patient with acute on chronic type of SCFE developed osteonecrosis of the femoral head after the operation, the function of the hip joint was restored. Our results suggest that transtrochanteric rotational osteotomy is a valuable option for the treatment of severe slipped capital femoral epiphysis in young patients.
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References
Southwick WO (1967) Osteotomy through the lesser trochanter for slipped capital femoral epiphysis. J Bone Joint Surg 49A:807–835
Sugioka Y (1984) Transtrochanteric rotational osteotomy in the treatment of idiopathic and steroid-induced femoral head necrosis, Perthes’ disease, slipped capital femoral epiphysis, and osteoarthritis of the hip. Clin Orthop 184:12–23
Carney BT, Weinstein SL (1996) Natural history of untreated chronic slipped capital femoral epiphysis. Clin Orthop 322:43–47
Dunn DM (1978) Replacement of the femoral head by open operation in severe adolescent slipping of the upper femoral epiphysis. J Bone Joint Surg [Br] 60:394–403
Kramer WG, Craig WA, Noel S (1976) Compensating osteotomy at the base of the femoral neck for slipped capital femoral epiphysis. J Bone Joint Surg 58A:796–800
Masuda T, Matsuno T, Hasegawa I, et al (1986) Trochanteric anterior rotational osteotomy for slipped capital femoral epiphysis: a report of five cases. J Pediatr Orthop 6:18–23
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Nagoya, S., Kaya, M., Sasaki, M., Kuwabara, H., Iwasaki, T., Yamashita, T. (2007). Transtrochanteric Rotational Osteotomy for Severe Slipped Capital Femoral Epiphysis. In: Sofue, M., Endo, N. (eds) Treatment of Osteoarthritic Change in the Hip. Springer, Tokyo. https://doi.org/10.1007/978-4-431-38200-3_4
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DOI: https://doi.org/10.1007/978-4-431-38200-3_4
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-38198-3
Online ISBN: 978-4-431-38200-3
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