SciELO - Scientific Electronic Library Online

vol.36 issue3Usefulness of molecular biology techniques in neuroinfectious diseasesSevere lesions caused by illegitimate acts and state terrorism in Uruguay. 10-year report of the medico-legal psychiatric assessment of victims author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390


FILIPPINI, Juan; PAGANO, Ignacio; PEREZ, María Elena  and  VON HEIDEKEN, Johan. Epiphysiolysis of the proximal femur: results and quality of life. Rev. Méd. Urug. [online]. 2020, vol.36, n.3, pp.87-111.  Epub Sep 01, 2020. ISSN 0303-3295.


the impact on the quality of life of patients with unstable and stable slipped capital femoral epiphysis is rather unknown. The study aims to learn about therapeutic outcomes in a quality of life score and the complications of the affected population in an orthopedics reference center.


this cohort study included 28 children treated at the Pereira Rossell Hospital Center between 2010 and 2016. Patients were assessed both clinically and with x-rays, with a 2-year minimum postoperative follow-up. The "International Hip Outcome Tool" (iHOT-12) questionnaire was used to measure the results reported by patients. Avascular necrosis, chondrolysis and femoroacetabular impingement were the complications evaluated by the study.


the study identified 38 hips treated for slipped capital femoral epiphysis. 28 of them were classified as stable (74%) and 10 as unstable (26%). In-situ fixation was the most frequently used surgical treatment. Upon completion of follow-up, 27 patients were assessed and the iHOT12 showed a significant difference between stable and unstable slips (70 (range 38-95) and 86 (57-100); P=0,017) respectively. No avascular necrosis or chondrolysis were observed and femoroacetabular impingement was 19% (n=7 hips; 6 stable and 1 unstable).


quality of life clinical results obtained by PROM were significantly better in the unstable slipping epiphysis of the proximal femur than in the stable epiphysis. Absence of avascular necrosis in unstable hips and the greater proportion of femoroacetabular impingements in stable slips despite a noticeable femoral remodeling following in-situ fixation could explain these surprising results.

Keywords : Slipped capital femoral epiphyses; Child; Quality of life.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )