Treatment of Osteoarthritic Change in the Hip - part 1 pps

[...]... of the femoral head were also noted in 3 hips (10 .3%) (Table 2) According to the classification, the acute type of SCFE was seen in 4 of 7 hips (57 .1% ), acute on chronic type in 2 of 6 hips (33.3%), and the chronic type in 4 of 16 hips (25%) The Table 1 Clinical classification and treatment methods Type of slip Acute Chronic Acute on chronic Total Pinning Osteotomy (ARO, VFO) In situ pinning 6 1 4 11 1. .. 9 hips, and in situ pinning on 9 hips According to the classification of severity, pinning was performed on 6 hips and osteotomy was performed on 1 hip of an acute slip Pinning was performed on 1 hip, osteotomy on 6 hips, and in situ pinning on 9 hips of chronic slips Pinning was performed on 4 hips and osteotomy was performed on 2 hips in acute on chronic slips (Table 1) Prophylactic fixation of the. .. on 13 hips (44.8%), and there was deformity of the femoral head in 1 hip and a femoral neck fracture after removal of the nail in 1 hip For rehabilitation, partial weight-bearing started after 6 weeks, and brace support for non-weight-bearing was applied in 6 cases Postoperative complications of avascular necrosis of the femoral head were noted in 7 hips (24 .1% ) Joint space narrowing and deformity of. .. Complications Complication Infection Avascular necrosis of femoral head Osteolysis Deformity of femoral head Males Females Number (%) 0 6 0 1 0 7 (24 .1% ) 0 1 0 2 0 3 (10 .3%) Treatment of Slipped Capital Femoral Epiphysis 11 surgical methods included pinning in 6 of 11 hips (54.5%), osteotomy in 4 of 9 hips (44.4%), and in situ pinning in 0 of 9 hips Additional operations using bone grafts were performed... surgical therapy in our hospital Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1- 1 5 -1 Kitasato, Sagamihara, Kanagawa 22 8-8 555, Japan 9 10 M Katano et al Materials and Methods There were 27 patients (23 males, 4 females) in the present study, with 29 hips treated surgically from 19 71 to 2004 in the Kitasato University Hospital Patient age ranged from 7 to 20 (mean, 12 .5) years... were seen in 1 hip, and juvenile rheumatoid arthritis (JRA) with short-stature chronic renal failure was seen in 1 hip Clinical evaluations of treatment methods, prophylactic fixation of the unaffected side, rehabilitation, complications, and radiographic evaluation of the PTA were investigated Results Of the surgically treated cases, pinning (cannulated screw fixation) was performed on 11 hips, osteotomy... emphasis on the capacities for remodeling J Pediatr Orthop (B) 5 :15 1 15 7 4 Loder RT, et al (19 93) Acute slipped capital femoral epiphysis: the importance of physeal stability J Bone Joint Surg 75A :11 34 11 40 5 Aronsson DD, Lorder RT, et al (19 96) Treatment of the unstable (acute) slipped capital femoral epiphysis Clin Orthop Relat Res 322:99 11 0 6 Casey BH, Hamilton HW, Bobechko WP (19 72) Reduction of acutely... using bone grafts were performed for avascular necrosis of the femoral head in 2 hips The average PTA at the time of the injury was 47.6° (20°–85°), and the average postoperative PTA was 17 .9° (0°–40°) The average PTA after pin removal at the final follow-up was 15 .9° (0°– 31 ) (Table 3) Case 1 A 12 -year-old boy suffered from acute SCFE with a PTA of 65° that was reduced to 22° by skeletal traction for... treated Department of Orthopedic Surgery, The Jikei University School of Medicine, 3-2 5-8 NishiShinbashi, Minato-ku, Tokyo 10 5-8 4 61, Japan 3 4 H Fujii et al by in situ fixation Among the hips of chronic type with PTA more than 40°, 6 were treated by trochanteric osteotomy and 1 by subcapital femoral neck osteotomy The evaluated items were as follows Preoperatively, PTA was measured on Laurenstein X-ray to... months (Fig 1) , the clinical outcome was good, although some formation of osteophytes was observed [2] The outcomes for 18 hips of chronic/stable type included that the average postoperative PTA for 11 hips after in situ fixation was 31 For 7 hips that were treated by osteotomy, preoperative PTA was 51 and postoperative PTA was 25° There were no complications for the chronic/stable type group The PTA . Asahimachi-dori, Niigata 95 1- 8 510 , Japan Library of Congress Control Number: 2006938396 ISBN -1 0 4-4 3 1- 3 819 8-8 Springer Tokyo Berlin Heidelberg New York ISBN -1 3 97 8-4 -4 3 1- 3 819 8-3 Springer Tokyo Berlin. included pinning in 6 of 11 hips (54.5%), osteotomy in 4 of 9 hips (44.4%), and in situ pinning in 0 of 9 hips. Additional operations using bone grafts were performed for avascular necrosis of the. 3 Department of Orthopedic Surgery, The Jikei University School of Medicine, 3-2 5-8 Nishi- Shinbashi, Minato-ku, Tokyo 10 5-8 4 61, Japan 4 H. Fujii et al. by in situ fixation. Among the hips of chronic