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Cuneiform osteotomy of the femoral neck in severe slipped capital femoral epiphysis

, : Cuneiform osteotomy of the femoral neck in severe slipped capital femoral epiphysis. Clinical Orthopaedics and Related Research: 48-60

From 1978 through 1988, 27 severe slipped epiphyses (Grade III) in 23 adolescent patients were treated with a cuneiform osteotomy of the proximal neck of the femur. Average time of followup was 8 years 5 months. The results were graded by the criteria of Southwick, with emphasis on pain, function, range of motion, and radiographic appearance. Arbitrarily, no hips were rated excellent, because the authors thought that this rating should be reserved for normal hips that have not had any disease process nor surgical procedure. There were 19 good, 4 fair, and 4 poor results. The 4 poor results were in patients with avascular necrosis. The avascular necrosis rate was 15%. Eight hips had some joint space narrowing during the postoperative followup period. All joint space narrowing was resolved by 20 months postoperatively. All patients, including those with avascular necrosis, improved in joint flexion and joint internal rotation. Although the avascular necrosis rate of 15% is significant, the authors believe that the potential for restoring hip anatomy and providing a normally functioning hip in the adolescent patient makes this procedure a viable treatment option.


PMID: 8542713

Other references

Rosenthal, S.L.; Freundlich, L.F.; Quraishi, M.A.; Cannon, M.; Washington, W., 1977: Antibiotic sensitivity. Bronx Municipal Hospital Center-- 1976 report. New York State Journal of Medicine 77(5): 756-762

Cacciatore, J.J.; Leonard, E.F.; Chasin, L.A., 2013: The isolation of CHO cells with a site conferring a high and reproducible transgene amplification rate. Co-amplification of transgenes using the dihydrofolate reductase/methotrexate (DHFR/MTX) system is a widely used method for the isolation of Chinese hamster ovary (CHO) cell lines that secrete high levels of recombinant proteins. A bottleneck in t...

Dawes, J.H.; Kloot, P.M., 1971: Weed control in established lucerne seed crops. Cultural and chemical techniques of weed control are described for use in both dryland and irrigated lucerne.

Rada B.; Dragun M.; Marcinka K., 1974: Inhibition of newcastle disease virus replication by 6 aza uridine role of uridine kinase and atp. Acta Microbiologica Polonica Series A Microbiologia Generalis 5(3/4): 225

Dornand, J.; Bonnafous, J.C.; Mani, J.C., 1978: Effects of con A and other lectins on pure 5'nucleotidase isolated from lymphocyte plasma membranes. Biochemical and Biophysical Research Communications 82(2): 685-692

Bartoli V.; Dorigo B.; Tedeschi E.; Biti G.; Voegelin M.R., 1975: Behavior of calf blood flow in normal subjects and in patients with intermittent claudication during a 24 hour time span. Chronobiologia 2(1): 13-19

Savela, K.; Isotalo, S.; Peltonen, Y.; Tamminen, N.; Peltonen, K.; Kuusimaki, L., 2001: Personal PAH exposure, DNA adducts and urinary metabolites, markers of diesel exhaust-derived PAH exposure at indoor and outdoor work. Mutation Research 483(Suppl 1): S143, 20 October

Kado, H.; Kimura, H.; Murata, T.; Itoh, H.; Shimosegawa, E., 2004: Carbon monoxide poisoning: two cases of assessment by magnetization transfer ratios and 1H-MRS for brain damage. We describe two patients with carbon monoxide (CO) poisoning. One developed diseased hypoxic encephalopathy, and the other recovered completely. In the patient with progressive hypoxic encephalopathy, the magnetization transfer ratios (MTRs) had a...

Carr T.A.; Boharski M.G.; Lassiter D.C.; Harty R.F., 1986: Direct demonstration of gamma aminobutyric acid stimulation of acetylcholine release from rat antral mucosal submucosal fragments. Gastroenterology 90(5 PART 2): 1366

Jessup, J.M.; Ford, R.; Nachman, A.; Gunthert, U.; Ishii, S., 1994: CD44 epitopes alter human colorectal carcinoma adhesion to carcinoembryonic antigen and to basement membrane proteins. Molecular Biology of the Cell 5(SUPPL ): 57A