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Research Article
Medium term results after in situ screw fixation of slipped capitis femoral epiphysis: A 33 case series
1 Paediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana IPSI, Bellinzona and Valli Regional Hospital, Ticino, Switzerland
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Marco Odorizzi
Paediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana IPSI, Bellinzona and Valli Regional Hospital, Ticino,
Switzerland
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Article ID: 100019O03MO2021
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Odorizzi M, De Rosa V, Mameli A. Medium term results after in situ screw fixation of slipped capitis femoral epiphysis: A 33 case series. Edorium J Orthop 2021;7:100019O03MO2021.ABSTRACT
Aims: Hip epiphysiolysis is a disease that affects children and teenagers during their growth and is normally treated surgically with reduction and percutaneous fixation to prevent further displacement of the epiphysis and the related complications. The aim of this study was to evaluate the outcome of the surgical treatment of hip epiphysiolysis with a single percutaneous screw.
Methods: Thirty-three patients, treated at the authors’ institution, with a mean age at surgery of 12.4 years and a male/female ratio of 60% were included in this retrospective case series. The right hip was involved in 11 patients, the left hip in 19 patients, and a bilateral involvement was present in 3 patients. All patients were treated with a percutaneous fixation of the slipped epiphysis with a single screw. Results: After a mean follow-up of 7.7 years, the mean Oxford hip score was 47.2. All patients regained a full range of motion. Eleven of them were fully satisfied with the treatment whereas 1 patient was partially satisfied. No complications were reported, neither intra-operatively, nor post-operatively, and no re-interventions were needed.
Conclusions: Percutaneous fixation of the slipped epiphysis with a single screw guarantees good functional outcomes and high patients’ satisfaction without relevant complications. Thus, it can be considered a safe and effective procedure for the treatment of hip epiphysiolysis.
Keywords: Hip epiphysiolisis, Percutaneous fixation, SCFE
SUPPORTING INFORMATION
Author Contributions
Marco Odorizzi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vincenzo De Rosa - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Alberto Mameli - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Marco Odorizzi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
