Abstract

BARROS, Cecília Sá et al. Epifisiólise femoral proximal, estudo retrospetivo de resultados a longo prazo após fixação in situ. Rev. Port. Ortop. Traum. [online]. 2019, vol.27, n.2, pp.70-78. ISSN 1646-2122.

Objective: Slipped capital femoral epiphysis (SCFE) is the most frequent disorder of the adolescent's hip. In situ fixation of the femoral epiphysis is one of the surgical treatments with consistent results, but the long-term consequences of the fixation of the femoral epiphysis in a non-anatomical position have been debated. This study aimed to retrospectively evaluate the clinical and functional results of patients subjected to in situ fixation of SCFE, between 1989-1999. Materials and Methods: Patients subjected to in situ fixation of femoral epiphysis for SCFE between 1989-1999, in our institution, were invited to clinical examination plus functional and quality-of-life assessment with HOOS and SF-36v2 questionnaires. Two groups of patients were created according to Wilson’s classification. The groups were compared using statistical tools (t-test, Fisher exact test and ANOVA). Results: A sample of 27 patients (a total of 32 hips) was studied. In the clinical evaluation, no differences were identified between groups. In the evaluation of functional results, group II presented lower HOOS scores than grade I cases, and SF-36 scores lower than group I and of the standardized values for the portuguese population. Conclusions: Although some studies point to a similarity of long-term results for in situ fixation in mild and moderate SCFE, a significant difference between these groups is observed in this study, showing that the degree of metaphyseal slip determines a worse long-term functional outcome.

Keywords : (MESH): epiphysiolysis; slipped capital femoral epiphyses; assessment; outcomes.

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