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Authordc.contributor.authorBesomi, Javier
Authordc.contributor.authorEscobar Bravo, Valeria Soledad
Authordc.contributor.authorÁlvarez, Santiago
Authordc.contributor.authorValderrama, Juanjose
Authordc.contributor.authorLópez, Jaime
Authordc.contributor.authorMella, Claudio
Authordc.contributor.authorLara, Joaquín
Authordc.contributor.authorMeneses Alvarado, Claudio Eugenio
Cita de ítemdc.identifier.citationJ Child Orthop 2021;15:24- 34es_ES
Abstractdc.description.abstractPurpose This study investigated the association between chondrolabral damage and time to arthroscopic surgery for slipped capital femoral epiphysis (SCFE). Methods This was a descriptive retrospective study that enrolled patients with SCFE who underwent hip arthroscopy for femoral osteochondroplasty after SCFE fixation. SCFE type, time from SCFE symptom onset or slip fixation surgery to hip arthroscopy and intraarticular arthroscopic findings were recorded. Acetabular chondrolabral damage was evaluated according to the Konan and Outerbridge classification systems. Nested analysis of variance and the chi-squared test were used for statistical analyses. Results We analyzed 22 cases of SCFE in 17 patients (five bilateral). The mean age at the time of hip arthroscopy was 13.6 years-old (8-20), and mean time from SCFE fixation to arthroscopy was 25.1 months (3 weeks to 8 years). Labral frying was present in 20 cases, labral tears in 16 and acetabular chondral damage in 17. The most frequent lesion was type 3 (41%) (Konan classification). Two cases had a grade III and 1 had a grade II acetabular chondral lesion (Outerbridge classification). Positive associations were observed between time from SCFE to hip arthroscopy and hip intraarticular lesions evaluated using Konan (p = 0.004) and Outerbridge (p = 0.000) classification systems. There was no association between SCFE severity (chi-squared = 0.315), stability (chisquared = 0.558) or temporality (chi-squared = 0.145) type and hip intraarticular lesions. Conclusion A longer time from SCFE symptom onset and fixation to hip arthroscopy is associated with greater acetabular chondrolabral damage.es_ES
Publisherdc.publisherBritish Editorial Society of Bone & Joint Surgery, Englandes_ES
Type of licensedc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
Link to Licensedc.rights.uri*
Sourcedc.sourceJournal of Children's Orthopaedicses_ES
Keywordsdc.subjectSlipped capital femoral epiphysises_ES
Keywordsdc.subjectSlipped upper femoral epiphysises_ES
Keywordsdc.subjectHip arthroscopyes_ES
Keywordsdc.subjectHip preservation surgeryes_ES
Títulodc.titleHip arthroscopy following slipped capital femoral epiphysis fixation: chondral damage and labral tears findingses_ES
Document typedc.typeArtículo de revistaes_ES
dc.description.versiondc.description.versionVersión publicada - versión final del editores_ES
dcterms.accessRightsdcterms.accessRightsAcceso abiertoes_ES
Indexationuchile.indexArtículo de publícación WoSes_ES

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Attribution-NonCommercial-NoDerivs 3.0 United States
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States