Tratamento das formas moderadas e graves de epifisiólise do fêmur proximal com a luxação controlada do quadril
Abstract
Recently, the in situ fixation, classical treatment of severe types of slipped capital femoral epiphysis is being refuted due to its frequent association with reduced range of motion, high levels of osteonecrosis, implant positioning failures, and condrolysis. The treatment of femoro acetabular impingement and its progression to early joint degeneration also contribute to this paradigm change. The controlled surgical dislocation described by Ganz and reopositioning of epiphysis showed positive results with anatomical reduction and low number of complications. This study describes the surgical technique, its indications, pitfalls and complications.
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