Clinical and radiological outcomes of chronic severe slipped capital femoral epiphysis patients treated by surgical dislocation and modified Dunn osteotomy: Case series
Sertan Hancıoğlu1, Hakan Koray Tosyalı2, Serkan Erkan2, Hüseyin Serhat Yercan2
1Department of Orthopedics and Traumatology, Izmir University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey
2Department of Orthopedics and Traumatology, Celal Bayar University, Faculty of Medicine, Manisa, Turkey
Keywords: Modified Dunn osteotomy procedure, slipped capital femoral epiphysis, surgical hip dislocation.
Objectives: This study aims to evaluate the clinical and radiological outcomes of patients with chronic severe slipped capital femoral epiphysis (SCFE) treated by surgical dislocation and modified Dunn osteotomy (MDO).
Patients and methods: This retrospective study, conducted between January 2010 and December 2017, included nine patients (8 males, 1 female; mean age 12.6 years; range, 7 to 16 years) with nine hips. The degree of corrections in Southwick angle and alpha angle were measured on frog-leg views. Range of motion (ROM) of the hips was measured at each follow-up visit. Heyman and Herndon classification system and Harris Hip Score (HHS) were evaluated for clinical and functional outcomes at the latest follow-up visit.
Results: The mean follow-up time was 34.8 months. Avascular necrosis complication was observed in one hip. Except two patients with lateral femoral cutaneous neuropathy, none of the patients suffered from any other complications. Mean preoperative Southwick angle of 59.1° was corrected to an angle of -0.8° postoperatively. Alpha angles were calculated as 44.6° postoperatively. Modified Dunn osteotomy resulted in marked improvement in hip ROM in all directions and increased HHS.
Conclusion: Our results encourage us to use this method in treating SCFE patients with chronic severe slips.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.