Mid-Term Comparative Outcomes of Both In Situ and Anatomically Reduced Hips of Slipped Capital Femoral Epiphysis

Abstract

INTRODUCTION[|]Most of the previous studies have shown good functional outcomes for most patients after in situ pinning or pinning with anatomical reduction of slipped capital femoral epiphyses (SCFE). We undertook a retrospective study to document comparative outcomes of both treated groups of 25 SCFE patients.[¤]METHODS[|]Between 2005 and 2013, 21 patients (26 hips) with SCFE underwent in situ pinning or pinning with anatomical reduction at a tertiary referral center. Medical records and radiographs were reviewed for slip characteristics. Magnetic resonance imaging (MRI) was performed to all patients at final visits. Mean follow-up was 139 months (range, 64 to 179). [¤]RESULTS[|]There was no significant difference between in situ group and reduction group regarding range of motion (ROM), Visual Analog Scale (VAS), and Harris Hip Score (HHS) of hip (p>0.05). Mean outcome scores were; HHS 80.4, and VAS 2.9 respectively. [¤]DISCUSSION AND CONCLUSION[|]Especially in the anatomic reduction group, a decrease in hip ROM was observed (not statistically significant) compared to the in situ group. MRI revealed atrophy of the peri-hip musculature in the reduction group. This present study may suggest that patients with SCFE whether anatomically reduced or in situ pinned may not contribute to clinical outcomes.[¤]

Keywords

• capital femoral epiphysis
• slippage; slipped; scfe.