Continued Growth of the Femoral Neck Leads to Improved Remodeling After In Situ Fixation of Slipped Capital Femoral Epiphysis
(2018) In Journal of Pediatric Orthopaedics 38(3). p.170-175- Abstract
- BACKGROUND: Globally, the most common method for in situ fixation of slipped capital femoral epiphysis (SCFE) is a threaded screw, which causes physeal arrest. The standard treatment in Sweden is unthreaded fixation using the Hansson hook-pin, which leads to continued growth of the femoral neck. Our purpose was to study remodeling during the remaining growth after fixation with the Hansson hook-pin. METHODS:: We performed a retrospective study of 54 patients with SCFE who were treated with the Hansson hook-pin between 2001 and 2009. The immediate postoperative radiograph and the radiograph taken after physeal closure (mean interval, 34 mo) were analyzed. Three radiographic assessments were used: the head-shaft angle (HSA), the alpha angle... (More)
- BACKGROUND: Globally, the most common method for in situ fixation of slipped capital femoral epiphysis (SCFE) is a threaded screw, which causes physeal arrest. The standard treatment in Sweden is unthreaded fixation using the Hansson hook-pin, which leads to continued growth of the femoral neck. Our purpose was to study remodeling during the remaining growth after fixation with the Hansson hook-pin. METHODS:: We performed a retrospective study of 54 patients with SCFE who were treated with the Hansson hook-pin between 2001 and 2009. The immediate postoperative radiograph and the radiograph taken after physeal closure (mean interval, 34 mo) were analyzed. Three radiographic assessments were used: the head-shaft angle (HSA), the alpha angle (Nötzli), and the displacement from Klein’s line. RESULTS:: Significant remodeling was detected in all measured parameters. The mean postoperative HSA decreased by 9.0 degrees (P (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/0b7e29b6-d847-4e65-9f5a-969a5c6c44c3
- author
- Örtegren, Jakob LU ; Björklund-Sand, Lina ; Engbom, Malin and Tiderius, Carl J. LU
- publishing date
- 2018
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Pediatric Orthopaedics
- volume
- 38
- issue
- 3
- pages
- 170 - 175
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- scopus:84973307933
- pmid:27261961
- ISSN
- 0271-6798
- DOI
- 10.1097/BPO.0000000000000797
- language
- English
- LU publication?
- no
- id
- 0b7e29b6-d847-4e65-9f5a-969a5c6c44c3
- date added to LUP
- 2016-07-11 19:45:22
- date last changed
- 2024-06-28 12:24:48
@article{0b7e29b6-d847-4e65-9f5a-969a5c6c44c3, abstract = {{BACKGROUND: Globally, the most common method for in situ fixation of slipped capital femoral epiphysis (SCFE) is a threaded screw, which causes physeal arrest. The standard treatment in Sweden is unthreaded fixation using the Hansson hook-pin, which leads to continued growth of the femoral neck. Our purpose was to study remodeling during the remaining growth after fixation with the Hansson hook-pin. METHODS:: We performed a retrospective study of 54 patients with SCFE who were treated with the Hansson hook-pin between 2001 and 2009. The immediate postoperative radiograph and the radiograph taken after physeal closure (mean interval, 34 mo) were analyzed. Three radiographic assessments were used: the head-shaft angle (HSA), the alpha angle (Nötzli), and the displacement from Klein’s line. RESULTS:: Significant remodeling was detected in all measured parameters. The mean postoperative HSA decreased by 9.0 degrees (P}}, author = {{Örtegren, Jakob and Björklund-Sand, Lina and Engbom, Malin and Tiderius, Carl J.}}, issn = {{0271-6798}}, language = {{eng}}, number = {{3}}, pages = {{170--175}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{Journal of Pediatric Orthopaedics}}, title = {{Continued Growth of the Femoral Neck Leads to Improved Remodeling After In Situ Fixation of Slipped Capital Femoral Epiphysis}}, url = {{http://dx.doi.org/10.1097/BPO.0000000000000797}}, doi = {{10.1097/BPO.0000000000000797}}, volume = {{38}}, year = {{2018}}, }