Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Continued Growth of the Femoral Neck Leads to Improved Remodeling After In Situ Fixation of Slipped Capital Femoral Epiphysis

Örtegren, Jakob LU ; Björklund-Sand, Lina ; Engbom, Malin and Tiderius, Carl J. LU (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:
author
; ; and
publishing date
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
  • pmid:27261961
  • scopus:84973307933
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
2024-05-17 09:32:20
@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}},
}