TITLE

Uso de clavos Schanz en epifi siolistesis de cadera con control de radiografía transquirúrgica

AUTHOR(S)
Valles-Mata, E. M.; Espinosa-Cordero, A. R.
PUB. DATE
May 2013
SOURCE
Acta Ortopedica Mexicana;May/Jun2013, Vol. 27 Issue 3, p149
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To show the utility of Schanz screws and the use of intraoperative Xray control for slipped capital femoral epiphysis. Material and methods: An observational, retrospective, descriptive and open-label study was conducted from January 2005 to March 2009 in healthy patients ages 9-13 years, with a diagnosis of unilateral slipped capital femoral epiphysis in the acute phase, less than 3 weeks old. Epiphysiodesis was performed by placing two 4.0-5.5 mm Schanz screws with minimum intraoperative X-ray control. Results: Eighteen patients who had undergone epiphysiodesis surgery were included. The number of X-rays taken was 6 in 2 patients (11.1%), 5 in 3 patients (16.6%), 4 in 5 patients (27.7%), and 3 in 8 patients (44.4%). Active mobilization was started 24 hours after surgery and passive flexion and extension at 48 hours. The first postoperative follow-up visit occurred at 6 weeks and thereafter every 2 months. One patient had avascular necrosis of the femoral head that required removing the material 4 months after surgery. Seventeen patients resumed their usual activities. Only one patient with avascular necrosis is still going to physical therapy and rehabilitation. Conclusion: Traditional intraoperative X-ray control is a simple technique that reduces the amount of radiation exposure. It may be considered as a useful tool in cases of limited economic and hospital resources.
ACCESSION #
91252652

 

Related Articles

Share

Read the Article

Courtesy of NEW JERSEY STATE LIBRARY

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics