Yeungnam Univ J Med.  2003 Jun;20(1):28-35. 10.12701/yujm.2003.20.1.28.

Physeal Remodeling after Internal Fixation of Slipped Capital Femoral Epiphysis

• Kim SD
• Park BW

• KMID: 1969350
• DOI: http://doi.org/10.12701/yujm.2003.20.1.28

Abstract

PURPOSE: To evaluate physeal remodeling after internal fixation of slipped capital femoral epiphysis, We performed a retrospective review of the medical records and radiographs of 14 children (17 cases) who had had slipped capital femoral epiphysis.
MATERIALS AND METHODS
We reviewed 14 patients who had slipped capital femoral epiphysis. They were divided two groups. Group I were in situ pinning with single screw and group II were corrective osteotomy with multiple pinning. We identified physeal remodeling camparing with their preoperative, postoperative and last follow-up radiographs with measuring physeal- shaft angle.
RESULTS
Early closure of the physis was observed in 6 cases among 14 patients (17 hips). Compared with their postoperative radiographs, the last follow up radiographic study revealed that physeal remodeling was observed in 4 patients (4 hips) at group I (mean, 7.8degree), in 2 patients (3 hips) at group II (mean, 10.7degree).
CONCLUSION
In this study, physeal remodeling was observed in 4 patients (4 hips) in group I and 2 patients (3 hips) in group II. The incidence of physeal remodeling was related with degree of epiphyseal slippage, and age was not related with physeal remodeling potential.

Keyword

Slipped capital femoral epiphysis; Physeal remodeling

MeSH Terms

Child
Follow-Up Studies
Humans
Incidence
Medical Records
Osteotomy
Retrospective Studies
Slipped Capital Femoral Epiphyses*