 |
Journal articles
Slipped capital femoral epiphysis management and the arthroscope
Abstract : BACKGROUND: In situ pinning of slipped capital femoral epiphysis (SCFE) results in various degrees of deformity of the femoral head-neck junction. Repetitive trauma from cam-type femoroacetabular impingement (FAI) can lead to labral tears and injury to the articular cartilage causing loss of function. Arthroscopic osteoplasty is an alternative to open procedure and to Southwick/Imhäuser-type osteotomies in symptomatic selected cases. SURGICAL TECHNIQUE: The amount of bone to be resected has to be carefully planned pre-operatively. Only gentle traction is applied on a well-padded perineal support. A spherical burr is used to gradually resect the prominence. Intra-operative fluoroscopy is very useful when checking adequate reshaping of the head-neck junction is obtained. RESULTS: Arthroscopy often reveals acetabular cartilage lesions, labrum hyperhemia and fraying which rarely require repair. Arthroscopic osteoplasty provides satisfactory pain relief and, to a lesser extent, restores hip internal rotation. CONCLUSION: Arthroscopic osteoplasty is more technically and time-demanding in post SCFE than idiopathic FAI. It requires strong arthroscopic skills and experience in hip arthroscopy. It stands as a reasonable alternative to open procedure or flexion osteotomies in symptomatic FAI post mild to moderate SCFE. It provides pain relief and to a lesser extent restores internal rotation of the hip.
Cited literature [9 references]
https://hal.archives-ouvertes.fr/hal-02135739
Contributor : Open Archive Toulouse Archive Ouverte (oatao) <>
Submitted on : Tuesday, May 21, 2019 - 3:22:21 PM
Last modification on : Thursday, May 23, 2019 - 10:37:20 AM
Contributor : Open Archive Toulouse Archive Ouverte (oatao) <>
Submitted on : Tuesday, May 21, 2019 - 3:22:21 PM
Last modification on : Thursday, May 23, 2019 - 10:37:20 AM
File
Accadbled_23123.pdf
Files produced by the author(s)