Avtor/Urednik		Zupanc, Oskar
Naslov		Primerjava biomehaničnega statusa kolka in kliničnih značilnosti pri dveh različnih operacijah po zdravljenju zdrsa glavice stegnenice
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Medicinska fakulteta
Leto izdaje		2000
Obseg		str. 71
Jezik		slo
Abstrakt		Introduction. Slipped capital femoral epiphysis (SCFE) is an important orthopaedical problem in early adolescence. Because of the lower mechanical resistance of the growth zone with respect to shear forces, separation between the epiphysis and the methaphysis of the femoral neck occurs. The etiology of SCFE is not known. Epiphysis remains in the acetabulum, while the femur rotates outwards and backwards (in extension). In the operative treatment of severe SCFE most authors recommend the use of two approaches, namely the modified osteotomy of the femoral neck according to Dunn-Fish or the intertrochanteric osteotomy according to Imhaeuser. The goals of both osteotomies are to restore the normal relationship between the femoral head and the neck, to delay the oneset of degenerative joint disease and to prevent the slip. An operation causes change of the hip geometry. Therefore. the biomechanical state of the hip changes. This importantly influences the development of coxarthrosis after the operation and therefore the succes of the operation. In this work we considered two problems connected with SCFE. The first problem consists of comparing of the biomechanical status of the hip after the two operation. The biomechanical status of the hip is determined by the maximal stress exerted on the weight bearing area normalized with respect to the body weight Pmax/Wb. The second problem considers epidemiological characteristic of SCFE. Material and methods. In the archives of the Dept. of Orthopaedic Surgery in Ljubljana we found medical records of 78 patients with moderate and severe SCFE who were treated operatively by osteotomies from 1970 to 1994. (Abstract truncated at 2000 characters).
Deskriptorji		EPIPHYSES, SLIPPED HIP DISLOCATION FEMUR HEAD FEMUR NECK BIOMECHANICS HIP JOINT OSTEOTOMY WEIGHT-BEARING RETROSPECTIVE STUDIES