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
Hauptverfasser: Kenny, Patrick, Higgins, Tony, Sedhom, Maged, Dowling, Frank, Moore, David P, Fogarty, Esmonde E
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container_end_page 99
container_issue 2
container_start_page 97
container_title Journal of pediatric orthopaedics. B
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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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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 &amp; 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. 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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. 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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 &amp; 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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