Tratamiento actual de la epifisiolisis capital femoral del niño: Procedimiento Dunn modificado

Abstract

INTRODUCTION: Slipped femoral head epiphysis is the most common hip disorder affecting adolescents between 9 and 16 years of age. It is caused by a smoothed proximal femoral physis resulting in a posterior and medial translation of the epiphysis relative to the metaphysis. It is a relatively frequent disorder in primary and prehospital care that generates pain and hip limitation; However, due to its vague symptoms, it is usually underdiagnosed or it is diagnosed late, generating long-term consequences. MATERIALS AND METHODS: A bibliographic search was carried out based on scientific articles from the last 5 years on the subject. Handling the terms femoral head epiphysiolysis, slipped femoral head epiphysis diagnosis, treatment and complications. Likewise, a descriptive and explanatory methodology was used based on all the information collected from the scientific articles. OBJECTIVE: To analyze the treatment of epiphysiolysis of the femoral head, by scrutinizing scientific articles, for a better understanding of surgical treatment and its complications. CONCLUSION: The Modified Dunn Procedure is a currently widely accepted therapeutic alternative that lies in the surgical dislocation of the hip, helping to restore the alignment of the proximal femur with favorable results with respect to avascular necrosis rates and a better functional result.