Slipped capital femoral epiphysis: therapeutic modalities and anatomo-clinical results: A report on 55 cases at the order of Malta hospital in Dakar 

Abstract

can lead to serious consequences jeopardizing the functional prognosis of the hip. Treatment depends not only on the extent of the displacement but also on the duration of progression. It makes use of several surgical techniques that differ according to indications, outcomes obtained, and possible complications. Patients and Method: This was a single-center retrospective study over a period of 128. A total of 55 hips from 50 patients were included. The average tilt angle was 54 ° (extremes of 10 and 98). Following the Southwick classification, type II was the most frequent, with 26 hips affected (47.27%). Patient assessment was done according to return to weight bearing, return to activity, complications recorded, functional outcomes according to the Postel Merle D’Aubigné (PMA) score, and the pre- and postoperative tilt angle was obtained on the Lowenstein incidence. Results: Modified DUNN osteotomy was performed for 20 hips, in situ fixation for 18 hips, reduction and fixation in 16 and a valgus osteotomy in 1 case. The average preoperative PMA score was 11.96 with extremes of 9 and 16. At a mean follow-up of 6 months, the average postoperative PMA was 14.26. There was an improvement by 9 ° of the postoperative Southwick. Six complications were recorded, including three aseptic osteonecrosis of the femoral head. Conclusion: The right indication and good mastery of the surgical technique in the treatment of SCFE allow stabilization or reduction of the posterior tilt, thus avoiding complications in the medium and long term