A POST-TREATMENT RETROSPECTIVE EVALUATION OF SLIPPED CAPITAL FEMORAL EPIPHYSIS

ABSTRACT Objective: To analyze the cases of slipped capital femoral epiphysis (SCFE) submitted to surgery at the Pediatric Orthopedics Surgery service of the Hospital Risoleta Tolentino Neves (HRTN), Belo Horizonte/MG, between 2016 and 2019. Methods: Patients treated for SCFE at the HRTN between January/2016 and January/2019 participated in this study. The following data were collected: gender, age, affected side, procedure performed, and postoperative complications. Results: Twenty-one patients were treated at HRTN during the specified period. Among these, most were female (57%) with mean age of 12 years. At the initial diagnosis, about 80% of the patients presented with chronic/acute-on-chronic epiphysis. The left hip was slightly more affected than the right (6:5), with a bilateral rate of 47%, and avascular necrosis was the most frequent complication, occurring in 33% of cases. Conclusion: Slipped femoral capital epiphysis is associated with high morbidity; thus, early diagnosis, endocrine disorder investigation, and appropriate surgical treatment are key for improving these patients’ clinical and functional outcome. Level of Evidence II, Retrospective study.

摘要
目的：分析2016年至2019年间，巴西米纳斯吉拉斯州（MG）贝洛哈里桑塔市里索莱塔·托伦蒂诺·内维斯医院（Hospital Risoleta Tolentino Neves, HRTN）儿童骨科外科收治的接受手术治疗的股骨头骨骺滑脱（Slipped Capital Femoral Epiphysis, SCFE）病例。
方法：本研究纳入2016年1月至2019年1月期间，在HRTN接受股骨头骨骺滑脱治疗的患者。收集的临床资料包括：性别、年龄、受累髋关节侧别、手术方式及术后并发症。
结果：上述研究时间段内，共有21例患者在HRTN接受治疗。其中女性占比57%，为多数群体，患者平均年龄为12岁。初诊时，约80%的患者表现为慢性/慢性急性发作型骨骺滑脱。左侧髋关节受累比例略高于右侧（6:5），双侧髋关节受累率为47%，最常见的术后并发症为缺血性坏死，发生率达33%。
结论：股骨头骨骺滑脱具有较高的致残率，因此早期诊断、内分泌紊乱排查及恰当的手术治疗是改善此类患者临床与功能预后的关键。本研究为证据等级Ⅱ级的回顾性研究。