Slipped upper femoral epiphysis. A retrospective, clinical and radiological study of fixation with a single screw
We conducted a retrospective, clinical and radiological study of fixation with a single screw in slipped upper femoral epiphysis. Forty children (53 hips) who had a slipped upper femoral epiphysis were managed by in-situ pinning with a single cannulated screw. The average age of these patients was 1...
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Veröffentlicht in: | Journal of pediatric orthopaedics. B 2003-03, Vol.12 (2), p.97-99 |
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creator | Kenny, Patrick Higgins, Tony Sedhom, Maged Dowling, Frank Moore, David P Fogarty, Esmonde E |
description | We conducted a retrospective, clinical and radiological study of fixation with a single screw in slipped upper femoral epiphysis. Forty children (53 hips) who had a slipped upper femoral epiphysis were managed by in-situ pinning with a single cannulated screw. The average age of these patients was 12.7 years and their average weight was above the 50th centile at the time of diagnosis. There were three acute slips, eight acute-on-chronic slips and 35 chronic slips. They were followed for an average of 2 years. Fifty-eight percent of patients had an excellent clinical result, 36% a good result, 4% a fair result and 2% a poor result. The complication rate was 5.3%. Our experience with single cannulated screw fixation of slipped upper femoral epiphysis is encouraging. No complications resulted from the choice of the fixation device. |
doi_str_mv | 10.1097/00009957-200303000-00003 |
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A retrospective, clinical and radiological study of fixation with a single screw</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Kenny, Patrick ; Higgins, Tony ; Sedhom, Maged ; Dowling, Frank ; Moore, David P ; Fogarty, Esmonde E</creator><creatorcontrib>Kenny, Patrick ; Higgins, Tony ; Sedhom, Maged ; Dowling, Frank ; Moore, David P ; Fogarty, Esmonde E</creatorcontrib><description>We conducted a retrospective, clinical and radiological study of fixation with a single screw in slipped upper femoral epiphysis. Forty children (53 hips) who had a slipped upper femoral epiphysis were managed by in-situ pinning with a single cannulated screw. The average age of these patients was 12.7 years and their average weight was above the 50th centile at the time of diagnosis. There were three acute slips, eight acute-on-chronic slips and 35 chronic slips. They were followed for an average of 2 years. Fifty-eight percent of patients had an excellent clinical result, 36% a good result, 4% a fair result and 2% a poor result. The complication rate was 5.3%. Our experience with single cannulated screw fixation of slipped upper femoral epiphysis is encouraging. No complications resulted from the choice of the fixation device.</description><identifier>ISSN: 1060-152X</identifier><identifier>EISSN: 1473-5865</identifier><identifier>DOI: 10.1097/00009957-200303000-00003</identifier><identifier>PMID: 12584491</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Bone Screws ; Child ; Epiphyses, Slipped - diagnostic imaging ; Epiphyses, Slipped - surgery ; Female ; Femur Head - diagnostic imaging ; Femur Head - pathology ; Follow-Up Studies ; Hip Joint - diagnostic imaging ; Hip Joint - physiopathology ; Hip Joint - surgery ; Humans ; Male ; Orthopedic Procedures - instrumentation ; Orthopedic Procedures - methods ; Radiography ; Range of Motion, Articular - physiology ; Recovery of Function ; Retrospective Studies ; Risk Assessment ; Sampling Studies ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics. B, 2003-03, Vol.12 (2), p.97-99</ispartof><rights>2003 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3563-412a9d97d8c141b1377a0be5ea29207dc096a6624e5bf1c8825c45762962473</citedby><cites>FETCH-LOGICAL-c3563-412a9d97d8c141b1377a0be5ea29207dc096a6624e5bf1c8825c45762962473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12584491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kenny, Patrick</creatorcontrib><creatorcontrib>Higgins, Tony</creatorcontrib><creatorcontrib>Sedhom, Maged</creatorcontrib><creatorcontrib>Dowling, Frank</creatorcontrib><creatorcontrib>Moore, David P</creatorcontrib><creatorcontrib>Fogarty, Esmonde E</creatorcontrib><title>Slipped upper femoral epiphysis. A retrospective, clinical and radiological study of fixation with a single screw</title><title>Journal of pediatric orthopaedics. B</title><addtitle>J Pediatr Orthop B</addtitle><description>We conducted a retrospective, clinical and radiological study of fixation with a single screw in slipped upper femoral epiphysis. Forty children (53 hips) who had a slipped upper femoral epiphysis were managed by in-situ pinning with a single cannulated screw. The average age of these patients was 12.7 years and their average weight was above the 50th centile at the time of diagnosis. There were three acute slips, eight acute-on-chronic slips and 35 chronic slips. They were followed for an average of 2 years. Fifty-eight percent of patients had an excellent clinical result, 36% a good result, 4% a fair result and 2% a poor result. The complication rate was 5.3%. Our experience with single cannulated screw fixation of slipped upper femoral epiphysis is encouraging. No complications resulted from the choice of the fixation device.</description><subject>Adolescent</subject><subject>Bone Screws</subject><subject>Child</subject><subject>Epiphyses, Slipped - diagnostic imaging</subject><subject>Epiphyses, Slipped - surgery</subject><subject>Female</subject><subject>Femur Head - diagnostic imaging</subject><subject>Femur Head - pathology</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - physiopathology</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Orthopedic Procedures - instrumentation</subject><subject>Orthopedic Procedures - methods</subject><subject>Radiography</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Treatment Outcome</subject><issn>1060-152X</issn><issn>1473-5865</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhq0K1C_4C8gnTqSMv-L4WFVAK1Xi0B64WV5n0jV449ROWPbf43a3IHUsjUevnvFoXhNCGVwwMPoz1DBG6YYDiHoAmidJHJFTJrVoVNeqN7WGFhqm-I8TclbKTwAOzKhjcsK46qQ07JQ83sUwTdjTpeZMB9yk7CLFKUzrXQnlgl7SjHNOZUI_h9_4ifoYxuAr5MaeZteHFNPDs1Dmpd_RNNAh_HFzSCPdhnlNHS1hfIhIi8-4fUfeDi4WfH-4z8nd1y_3V9fN7fdvN1eXt40XqhWNZNyZ3ui-80yyFRNaO1ihQscNB917MK1rWy5RrQbmu44rL5VuuamaFufk4_7VKafHBctsN6F4jNGNmJZitQDWaSkr2O1BX3csGQc75bBxeWcZ2Cez7YvZ9p_Zz5KorR8OM5bVBvv_jQd3KyD3wDbFGXP5FZctZrtGF-e1BcaB1zVff6L4C-jFiiI</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Kenny, Patrick</creator><creator>Higgins, Tony</creator><creator>Sedhom, Maged</creator><creator>Dowling, Frank</creator><creator>Moore, David P</creator><creator>Fogarty, Esmonde E</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>Slipped upper femoral epiphysis. A retrospective, clinical and radiological study of fixation with a single screw</title><author>Kenny, Patrick ; Higgins, Tony ; Sedhom, Maged ; Dowling, Frank ; Moore, David P ; Fogarty, Esmonde E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3563-412a9d97d8c141b1377a0be5ea29207dc096a6624e5bf1c8825c45762962473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Bone Screws</topic><topic>Child</topic><topic>Epiphyses, Slipped - diagnostic imaging</topic><topic>Epiphyses, Slipped - surgery</topic><topic>Female</topic><topic>Femur Head - diagnostic imaging</topic><topic>Femur Head - pathology</topic><topic>Follow-Up Studies</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - physiopathology</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Orthopedic Procedures - instrumentation</topic><topic>Orthopedic Procedures - methods</topic><topic>Radiography</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Sampling Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kenny, Patrick</creatorcontrib><creatorcontrib>Higgins, Tony</creatorcontrib><creatorcontrib>Sedhom, Maged</creatorcontrib><creatorcontrib>Dowling, Frank</creatorcontrib><creatorcontrib>Moore, David P</creatorcontrib><creatorcontrib>Fogarty, Esmonde E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics. B</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kenny, Patrick</au><au>Higgins, Tony</au><au>Sedhom, Maged</au><au>Dowling, Frank</au><au>Moore, David P</au><au>Fogarty, Esmonde E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Slipped upper femoral epiphysis. A retrospective, clinical and radiological study of fixation with a single screw</atitle><jtitle>Journal of pediatric orthopaedics. B</jtitle><addtitle>J Pediatr Orthop B</addtitle><date>2003-03</date><risdate>2003</risdate><volume>12</volume><issue>2</issue><spage>97</spage><epage>99</epage><pages>97-99</pages><issn>1060-152X</issn><eissn>1473-5865</eissn><abstract>We conducted a retrospective, clinical and radiological study of fixation with a single screw in slipped upper femoral epiphysis. Forty children (53 hips) who had a slipped upper femoral epiphysis were managed by in-situ pinning with a single cannulated screw. The average age of these patients was 12.7 years and their average weight was above the 50th centile at the time of diagnosis. There were three acute slips, eight acute-on-chronic slips and 35 chronic slips. They were followed for an average of 2 years. Fifty-eight percent of patients had an excellent clinical result, 36% a good result, 4% a fair result and 2% a poor result. The complication rate was 5.3%. Our experience with single cannulated screw fixation of slipped upper femoral epiphysis is encouraging. No complications resulted from the choice of the fixation device.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>12584491</pmid><doi>10.1097/00009957-200303000-00003</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Bone Screws Child Epiphyses, Slipped - diagnostic imaging Epiphyses, Slipped - surgery Female Femur Head - diagnostic imaging Femur Head - pathology Follow-Up Studies Hip Joint - diagnostic imaging Hip Joint - physiopathology Hip Joint - surgery Humans Male Orthopedic Procedures - instrumentation Orthopedic Procedures - methods Radiography Range of Motion, Articular - physiology Recovery of Function Retrospective Studies Risk Assessment Sampling Studies Treatment Outcome |
title | Slipped upper femoral epiphysis. A retrospective, clinical and radiological study of fixation with a single screw |
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