EPIFISIOLISIS FEMORAL DISTAL PDF

Fraktur Epifisiolisis Femur Distal Pada anak-anak atau remaja ekuivalen dengan fraktur suprakondiler, epifisis femoral distal dapat displace — baik ke satu sisi biasanya lateral oleh tenaga angulasi terhadap lutut yang dalam keadaan lurus atau akibat cedera hiperekstensi. Meskipun tidak sesering fraktur physeal pada siku atau pergelangan kaki, cedera ini penting karena potensinya menyebabkan pertumbuhan abnormal dan deformitas pada lutut. Fraktur ini biasanya merupakan Salter-Harris tipe 2 — dimana separasi physeal dengan fragmen tulang metafisis triangular besar. Tipe fraktur ini memiliki prognosis baik, arrest pertumbuhan asimetris tidaklah jarang dan si anak dapat mengalami deformitas valgus maupun varus. Semua grade cedera, terutama Salter-Harris tipe 3 dan 4 dapat menyebabkan pemendekan femur.

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Hospital Universitario Central de Asturias. Key words: proximal femoral epiphysiolisis, hip, treatment. Aceptado: febrero de Hip epiphysiolysis of unknown origin is frequent in children and adolescents. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Materials and methods. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.

Discussion and conclusions. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement. Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis or non-septic necrosis of the femur head.

The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.

Currently, osteosynthesis using a single cannulated screw is the preferred procedure. Rev Ortop Traumatol. En un caso se produjo la rotura de la broca en el interior del hueso, quedando en su interior el fragmento distal de la misma.

Ambos evolucionaron hacia la necrosis avascular. Figura 7. Tabla 4. Las agujas de Kirschner son menos agresivas para la Rev Ortop Traumatol.

El tratamiento de las formas inestables es controvertido. Rev Esp Cir Osteoart. Acute slipped capital femoral epiphysis: the importance of phiseal stability. J Bone Joint Surg Am. Tachdjian MO. En: Tachdjian MO, editor. Canale ST. Fracturas y luxaciones en la infancia. En: Canale ST, editor. Tomo III. Madrid: Harcourt; Algunos aspectos controvertidos. Clin Orthop. The evolving slope of the proximal femoral growth plate relationship to slipped capital femoral epiphysis.

J Pediatr Orthop. Mechanical factors in slipped capital femoral epiphysis. Chronic slipped capital femoral epiphysis: Treatment by pinning in situ. Xicoy J, Surroca M. Long-term follow-up of slipped capital femoral epiphysis. Ultrasonography in slipped capital femoral epiphysis. J Bone Joint Surg Br. Replacement of the femoral head by open operation in severe adolescent slipping of the upper femoral epiphysis. Rey JC, Carlioz H. Epiphysiolises a grand deplacement.

Reduction sanglante par le technique de Dunn. Rev Chir Orthop. Chondrolysis in slipped upper femoral epiphysis. Long-term study of the aetiology and natural history. Pin removal after in-situ pinning for slipped capital femoral epiphisis. Acta Orthop Belg. Results after preoperative traction and pinning in slipped capital femoral epiphysis: K Wires versus cannulated screws.

Fixation with a single screw for slipped femoral capital epiphysis. Hazards of internal fixation in the treatment of slipped capital femoral epiphysis. Slipped upper femoral epiphysis. A potential for spontaneous recovery. Conflicto de intereses.

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