tailieunhanh - báo cáo hóa học:" Nonoperative treatment of slipped capital femoral epiphysis: a scientific study"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Nonoperative treatment of slipped capital femoral epiphysis: a scientific study | Pinheiro Journal of Orthopaedic Surgery and Research 2011 6 10 http content 6 1 10 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Nonoperative treatment of slipped capital femoral epiphysis a scientific study Pedro Carlos MS Pinheiro Abstract Background Treatment of the Slipped Capital Femoral Epiphysis remains a cause of concern due to the fact that the true knowledge of the etiopathogeny is unknown as well as one of its major complications chondrolysis. The conservative treatment remains controversial it has been overlooked in the studies and subjected to intense criticism. The purpose of this study is to investigate the results of treatment on the hip of patients displaying slipped capital femoral epiphysis using the plaster cast immobilization method and its link to chondrolysis. Methods The research was performed based on the study of the following variables symptomatology and the degree of slipping. A hip spica cast and bilateral short long leg casts in abduction internal rotation with anti-rotational bars were used for immobilizing the patient s hip for twelve weeks. Statistical analysis was accomplished by Wilcoxon s marked position test and by the Fisher accuracy test at a 5 level. Results A satisfactory result was obtained in the acute group 94 in the chronic group chronic acute on chronic . Regarding the degree of the slipping a satisfactory result was obtained in of hips tested with a mild slip in 76 with moderate slip and 73 in the severe slip. The statistical result revealed that a significant improvement was found for flexion p abduction p internal rotation p and external rotation p . Chondrolysis was present in of the hips tested. One case of pseudoarthrosis with aseptic capital necrosis was presented. There was no significant variation between age and chondrolysis p . Significant variation between gender non-white patients versus chondrolysis p and p .

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