Treatment of slipped capital femoral epiphysis complicated by chondrolysis of the hip joint

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The experience of treatment of 38 patient (39 joints) with slipped capital femoral epiphysis complicated by chondrolysis of the hip joint is presented. Clinical and radiologic examinations, comparable scintigraphy with 99mTc (10 patients) and morphologic examination (11 joints) were used. Camparable evaluation of outcomes of conservative (24 patients) and operative (14 patients) tratment confirmed the advisability of early surgical treatment. Mobilized-decompression procedure both an, independent one and in combination with reconstructive osteotomy is the method of choice. The follow up period ranged from 1.5 to 6 years. In 10 patients long term results were good, in 3 patients -satisfactory and in 1 patient - unsatisfactory.

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G. Gaiko

Ukrainian Institute of Traumatology and Orthopedics

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乌克兰, Kyiv

V. Goshko

Ukrainian Institute of Traumatology and Orthopedics

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乌克兰, Kyiv

V. Grigorovsky

Ukrainian Institute of Traumatology and Orthopedics

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乌克兰, Kyiv

V. Filippuk

Ukrainian Institute of Traumatology and Orthopedics

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乌克兰, Kyiv

参考

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2. Radiographs of patient T., 15 years old, at the stages of treatment. a — at the time of diagnosis: bilateral juvenile epiphysiolysis of the femoral heads; b — after treatment with skeletal traction (significant narrowing of the joint space, juxta-articular osteoporosis on both sides; clinical diagnosis: bilateral chondrolysis of the hip joints); c — 7 months after simultaneously performed mobilizing-decompressive operations (expansion of the joint spaces); d — 4 months after the Imhouser-Southwick intertrochanteric osteotomy on the right.

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