Long-Term Follow-Up Study After Corrective Imhäuser Osteotomy for Severe Slipped Capital Femoral Epiphysis
The management of severe slipped capital femoral epiphysis (SCFE) is still controversial, because of a lack of long-term follow-up studies. Thirty-five patients (39 hips) with severe slipped capital femoral epiphysis, treated by corrective intertrochanteric Imhäuser osteotomy, were clinically and ra...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 2000-11, Vol.20 (6), p.749-756 |
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| creator | Kartenbender, K Cordier, W Katthagen, B -D |
| description | The management of severe slipped capital femoral epiphysis (SCFE) is still controversial, because of a lack of long-term follow-up studies. Thirty-five patients (39 hips) with severe slipped capital femoral epiphysis, treated by corrective intertrochanteric Imhäuser osteotomy, were clinically and radiographically reexamined. The average age at the operation was 13.7 years (range, 8–17 years) and the reexamination was at an average of 23.4 years (range, 19–27 years) after the operation. At reexamination, 77% of patients were rated good to excellent clinically and 67% had good or excellent radiological results by the Southwick classification. Three patients had severe degenerative arthritic changes, and two patients developed avascular necrosis. We conclude that the Imhäuser osteotomy should be performed in severe deformities (>40° gliding angle) associated with poor function. Because other studies show good long-term results after in situ pinning only, the indication for Imhäuser osteotomy should be made carefully depending on clinical and radiological findings. |
| doi_str_mv | 10.1097/00004694-200011000-00010 |
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Thirty-five patients (39 hips) with severe slipped capital femoral epiphysis, treated by corrective intertrochanteric Imhäuser osteotomy, were clinically and radiographically reexamined. The average age at the operation was 13.7 years (range, 8–17 years) and the reexamination was at an average of 23.4 years (range, 19–27 years) after the operation. At reexamination, 77% of patients were rated good to excellent clinically and 67% had good or excellent radiological results by the Southwick classification. Three patients had severe degenerative arthritic changes, and two patients developed avascular necrosis. We conclude that the Imhäuser osteotomy should be performed in severe deformities (>40° gliding angle) associated with poor function. Because other studies show good long-term results after in situ pinning only, the indication for Imhäuser osteotomy should be made carefully depending on clinical and radiological findings.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-200011000-00010</identifier><identifier>PMID: 11097248</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Epiphyses, Slipped - diagnostic imaging ; Epiphyses, Slipped - surgery ; Female ; Femur Head ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Orthopedic surgery ; Osteotomy - methods ; Postoperative Complications ; Radiography ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics, 2000-11, Vol.20 (6), p.749-756</ispartof><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2990-3fc939108b870d8d1c88dffb7bcb6790c3f830af15aad8568605ff5b5c2782a63</citedby><cites>FETCH-LOGICAL-c2990-3fc939108b870d8d1c88dffb7bcb6790c3f830af15aad8568605ff5b5c2782a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=824019$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11097248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kartenbender, K</creatorcontrib><creatorcontrib>Cordier, W</creatorcontrib><creatorcontrib>Katthagen, B -D</creatorcontrib><title>Long-Term Follow-Up Study After Corrective Imhäuser Osteotomy for Severe Slipped Capital Femoral Epiphysis</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>The management of severe slipped capital femoral epiphysis (SCFE) is still controversial, because of a lack of long-term follow-up studies. Thirty-five patients (39 hips) with severe slipped capital femoral epiphysis, treated by corrective intertrochanteric Imhäuser osteotomy, were clinically and radiographically reexamined. The average age at the operation was 13.7 years (range, 8–17 years) and the reexamination was at an average of 23.4 years (range, 19–27 years) after the operation. At reexamination, 77% of patients were rated good to excellent clinically and 67% had good or excellent radiological results by the Southwick classification. Three patients had severe degenerative arthritic changes, and two patients developed avascular necrosis. We conclude that the Imhäuser osteotomy should be performed in severe deformities (>40° gliding angle) associated with poor function. Because other studies show good long-term results after in situ pinning only, the indication for Imhäuser osteotomy should be made carefully depending on clinical and radiological findings.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Epiphyses, Slipped - diagnostic imaging</subject><subject>Epiphyses, Slipped - surgery</subject><subject>Female</subject><subject>Femur Head</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteotomy - methods</subject><subject>Postoperative Complications</subject><subject>Radiography</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1uEzEQgC0EomnhFZAlJG4u_tld28cqaqBSpB7Sni2vd0yWeuPF3m2U9-FNeDEcEoqED56R9c2M5jNCmNFrRrX8TMupGl0RXhLGykWOCX2FFqwWmvBa0tdoQblkpJFaXaDLnL8XQopKvEUX7NiFV2qBntZx9408QBrwKoYQ9-RxxJtp7g74xk-Q8DKmBG7qnwHfDdtfP-dcHu_zBHGKwwH7mPAGniEB3oR-HKHDSzv2kw14BUNMJd6O_bg95D6_Q2-8DRnen-MVelzdPiy_kvX9l7vlzZo4rjUlwjstNKOqVZJ2qmNOqc77VrauLctQJ7wS1HpWW9upulENrb2v29pxqbhtxBX6dOo7pvhjhjyZoc8OQrA7iHM2ZXMhpKoLqE6gSzHnBN6MqR9sOhhGzVGR-SvavIg2f0SX0g_nGXM7QPev8Gy2AB_PgM3OBp_szvX5hVO8okwXqjpR-xiK7fwU5j0kswUbpq2hjFdMaPX_N4vfkRyV7Q</recordid><startdate>200011</startdate><enddate>200011</enddate><creator>Kartenbender, K</creator><creator>Cordier, W</creator><creator>Katthagen, B -D</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200011</creationdate><title>Long-Term Follow-Up Study After Corrective Imhäuser Osteotomy for Severe Slipped Capital Femoral Epiphysis</title><author>Kartenbender, K ; Cordier, W ; Katthagen, B -D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2990-3fc939108b870d8d1c88dffb7bcb6790c3f830af15aad8568605ff5b5c2782a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Epiphyses, Slipped - diagnostic imaging</topic><topic>Epiphyses, Slipped - surgery</topic><topic>Female</topic><topic>Femur Head</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteotomy - methods</topic><topic>Postoperative Complications</topic><topic>Radiography</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kartenbender, K</creatorcontrib><creatorcontrib>Cordier, W</creatorcontrib><creatorcontrib>Katthagen, B -D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kartenbender, K</au><au>Cordier, W</au><au>Katthagen, B -D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Follow-Up Study After Corrective Imhäuser Osteotomy for Severe Slipped Capital Femoral Epiphysis</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2000-11</date><risdate>2000</risdate><volume>20</volume><issue>6</issue><spage>749</spage><epage>756</epage><pages>749-756</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>The management of severe slipped capital femoral epiphysis (SCFE) is still controversial, because of a lack of long-term follow-up studies. Thirty-five patients (39 hips) with severe slipped capital femoral epiphysis, treated by corrective intertrochanteric Imhäuser osteotomy, were clinically and radiographically reexamined. The average age at the operation was 13.7 years (range, 8–17 years) and the reexamination was at an average of 23.4 years (range, 19–27 years) after the operation. At reexamination, 77% of patients were rated good to excellent clinically and 67% had good or excellent radiological results by the Southwick classification. Three patients had severe degenerative arthritic changes, and two patients developed avascular necrosis. We conclude that the Imhäuser osteotomy should be performed in severe deformities (>40° gliding angle) associated with poor function. Because other studies show good long-term results after in situ pinning only, the indication for Imhäuser osteotomy should be made carefully depending on clinical and radiological findings.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11097248</pmid><doi>10.1097/00004694-200011000-00010</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of pediatric orthopaedics, 2000-11, Vol.20 (6), p.749-756 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Biological and medical sciences Child Epiphyses, Slipped - diagnostic imaging Epiphyses, Slipped - surgery Female Femur Head Follow-Up Studies Humans Male Medical sciences Orthopedic surgery Osteotomy - methods Postoperative Complications Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Long-Term Follow-Up Study After Corrective Imhäuser Osteotomy for Severe Slipped Capital Femoral Epiphysis |
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