The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy

Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteoto...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Witbreuk, Melinda M. E. H. [verfasserIn] Bolkenbaas, M. Mullender, M. G. Sierevelt, I. N. Besselaar, P. P.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Epiphysiodesis Epiphysiolysis capites femoris Imhauser osteotomy Intertrochanteric osteotomy Slipped capital femoral epiphysis Slipped upper femoral epiphysis

Anmerkung:	© The Author(s) 2009. This article is published under license to BioMed Central Ltd.

Übergeordnetes Werk:	Enthalten in: Journal of children's orthopaedics - London : Sage, 2007, 3(2009), 5 vom: 26. Sept., Seite 405-410
Übergeordnetes Werk:	volume:3 ; year:2009 ; number:5 ; day:26 ; month:09 ; pages:405-410

Links:	Volltext

DOI / URN:	10.1007/s11832-009-0204-7

Katalog-ID:	SPR022616837

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520			\|a Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results.
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allfields	10.1007/s11832-009-0204-7 doi (DE-627)SPR022616837 (SPR)s11832-009-0204-7-e DE-627 ger DE-627 rakwb eng Witbreuk, Melinda M. E. H. verfasserin aut The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2009. This article is published under license to BioMed Central Ltd. Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. Epiphysiodesis (dpeaa)DE-He213 Epiphysiolysis capites femoris (dpeaa)DE-He213 Imhauser osteotomy (dpeaa)DE-He213 Intertrochanteric osteotomy (dpeaa)DE-He213 Slipped capital femoral epiphysis (dpeaa)DE-He213 Slipped upper femoral epiphysis (dpeaa)DE-He213 Bolkenbaas, M. aut Mullender, M. G. aut Sierevelt, I. N. aut Besselaar, P. P. aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 3(2009), 5 vom: 26. Sept., Seite 405-410 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:3 year:2009 number:5 day:26 month:09 pages:405-410 https://dx.doi.org/10.1007/s11832-009-0204-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 5 26 09 405-410
spelling	10.1007/s11832-009-0204-7 doi (DE-627)SPR022616837 (SPR)s11832-009-0204-7-e DE-627 ger DE-627 rakwb eng Witbreuk, Melinda M. E. H. verfasserin aut The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2009. This article is published under license to BioMed Central Ltd. Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. Epiphysiodesis (dpeaa)DE-He213 Epiphysiolysis capites femoris (dpeaa)DE-He213 Imhauser osteotomy (dpeaa)DE-He213 Intertrochanteric osteotomy (dpeaa)DE-He213 Slipped capital femoral epiphysis (dpeaa)DE-He213 Slipped upper femoral epiphysis (dpeaa)DE-He213 Bolkenbaas, M. aut Mullender, M. G. aut Sierevelt, I. N. aut Besselaar, P. P. aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 3(2009), 5 vom: 26. Sept., Seite 405-410 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:3 year:2009 number:5 day:26 month:09 pages:405-410 https://dx.doi.org/10.1007/s11832-009-0204-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 5 26 09 405-410
allfields_unstemmed	10.1007/s11832-009-0204-7 doi (DE-627)SPR022616837 (SPR)s11832-009-0204-7-e DE-627 ger DE-627 rakwb eng Witbreuk, Melinda M. E. H. verfasserin aut The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2009. This article is published under license to BioMed Central Ltd. Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. Epiphysiodesis (dpeaa)DE-He213 Epiphysiolysis capites femoris (dpeaa)DE-He213 Imhauser osteotomy (dpeaa)DE-He213 Intertrochanteric osteotomy (dpeaa)DE-He213 Slipped capital femoral epiphysis (dpeaa)DE-He213 Slipped upper femoral epiphysis (dpeaa)DE-He213 Bolkenbaas, M. aut Mullender, M. G. aut Sierevelt, I. N. aut Besselaar, P. P. aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 3(2009), 5 vom: 26. Sept., Seite 405-410 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:3 year:2009 number:5 day:26 month:09 pages:405-410 https://dx.doi.org/10.1007/s11832-009-0204-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 5 26 09 405-410
allfieldsGer	10.1007/s11832-009-0204-7 doi (DE-627)SPR022616837 (SPR)s11832-009-0204-7-e DE-627 ger DE-627 rakwb eng Witbreuk, Melinda M. E. H. verfasserin aut The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2009. This article is published under license to BioMed Central Ltd. Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. Epiphysiodesis (dpeaa)DE-He213 Epiphysiolysis capites femoris (dpeaa)DE-He213 Imhauser osteotomy (dpeaa)DE-He213 Intertrochanteric osteotomy (dpeaa)DE-He213 Slipped capital femoral epiphysis (dpeaa)DE-He213 Slipped upper femoral epiphysis (dpeaa)DE-He213 Bolkenbaas, M. aut Mullender, M. G. aut Sierevelt, I. N. aut Besselaar, P. P. aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 3(2009), 5 vom: 26. Sept., Seite 405-410 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:3 year:2009 number:5 day:26 month:09 pages:405-410 https://dx.doi.org/10.1007/s11832-009-0204-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 5 26 09 405-410
allfieldsSound	10.1007/s11832-009-0204-7 doi (DE-627)SPR022616837 (SPR)s11832-009-0204-7-e DE-627 ger DE-627 rakwb eng Witbreuk, Melinda M. E. H. verfasserin aut The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2009. This article is published under license to BioMed Central Ltd. Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. Epiphysiodesis (dpeaa)DE-He213 Epiphysiolysis capites femoris (dpeaa)DE-He213 Imhauser osteotomy (dpeaa)DE-He213 Intertrochanteric osteotomy (dpeaa)DE-He213 Slipped capital femoral epiphysis (dpeaa)DE-He213 Slipped upper femoral epiphysis (dpeaa)DE-He213 Bolkenbaas, M. aut Mullender, M. G. aut Sierevelt, I. N. aut Besselaar, P. P. aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 3(2009), 5 vom: 26. Sept., Seite 405-410 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:3 year:2009 number:5 day:26 month:09 pages:405-410 https://dx.doi.org/10.1007/s11832-009-0204-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 5 26 09 405-410
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E. H.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="4"><subfield code="a">The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2009</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2009. This article is published under license to BioMed Central Ltd.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. 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author	Witbreuk, Melinda M. E. H.
spellingShingle	Witbreuk, Melinda M. E. H. misc Epiphysiodesis misc Epiphysiolysis capites femoris misc Imhauser osteotomy misc Intertrochanteric osteotomy misc Slipped capital femoral epiphysis misc Slipped upper femoral epiphysis The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy
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topic_title	The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy Epiphysiodesis (dpeaa)DE-He213 Epiphysiolysis capites femoris (dpeaa)DE-He213 Imhauser osteotomy (dpeaa)DE-He213 Intertrochanteric osteotomy (dpeaa)DE-He213 Slipped capital femoral epiphysis (dpeaa)DE-He213 Slipped upper femoral epiphysis (dpeaa)DE-He213
topic	misc Epiphysiodesis misc Epiphysiolysis capites femoris misc Imhauser osteotomy misc Intertrochanteric osteotomy misc Slipped capital femoral epiphysis misc Slipped upper femoral epiphysis
topic_unstemmed	misc Epiphysiodesis misc Epiphysiolysis capites femoris misc Imhauser osteotomy misc Intertrochanteric osteotomy misc Slipped capital femoral epiphysis misc Slipped upper femoral epiphysis
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title	The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy
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title_full	The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy
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title_sort	results of downgrading moderate and severe slipped capital femoral epiphysis by an early imhauser femur osteotomy
title_auth	The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy
abstract	Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. © The Author(s) 2009. This article is published under license to BioMed Central Ltd.
abstractGer	Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. © The Author(s) 2009. This article is published under license to BioMed Central Ltd.
abstract_unstemmed	Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. © The Author(s) 2009. This article is published under license to BioMed Central Ltd.
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title_short	The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy
url	https://dx.doi.org/10.1007/s11832-009-0204-7
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author2	Bolkenbaas, M. Mullender, M. G. Sierevelt, I. N. Besselaar, P. P.
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E. H.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="4"><subfield code="a">The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2009</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2009. This article is published under license to BioMed Central Ltd.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose Patients with moderate and severe slipped capital femoral epiphysis (SCFE) develop osteoarthritis earlier in life in association with mechanical impingement. Methods To correct deformity and diminish impingement, we performed epiphysiodesis combined with an Imhauser intertrochanteric osteotomy (ITO) in moderate and severe slipped capital femoral epiphysis. We downgraded the angle of the head relative to the acetabulum into an angle corresponding to a mild slip or even an anatomical position. Our hypothesis is that the avoidance of anterior impingement at an early stage can prevent the development of osteoarthritis. Results The results of 28 patients (32 hips) were evaluated. Outcome parameters were SF-36, Harris Hip Score, range of motion, Kellgren–Lawrence score, chondrolysis and avascular necrosis. After a median follow-up of 8 (range 2–25) years, the group was clinically, functionally and socially performing well. Radiologically, there was no sign of chondrolysis or avascular necrosis, and more than 80% of the patients did not show any signs of osteoarthritis. 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The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy

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