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Slipped capital femoral epiphysis in Southern Sweden. Long-term results after nailing/pinning

Hagglund, G. LU ; Hannson, L. I. and Sandstrom, S. (1987) In Clinical Orthopaedics and Related Research No. 217. p.190-200
Abstract

One hundred seventy-two patients with 204 slipped capital femoral epiphyses treated with nailing or pinning were evaluated an average of 28 years after surgery. Follow-up evaluation was obtained by questionnaire in 153 cases (181 hips) and by clinical and radiographic reexamination in 132 cases (157 hips). Segmental collapse was seen in four of 179 hips nailed/pinned in situ and in four of 25 hips operated after reduction. This was the only early complication associated with problems at reexamination. Arthrosis was twice as frequent after reduction (53%) than after fixation in situ (24%). The clinical and radiographic results were better than those from the same region after other methods of treatment. Nailing or pinning in situ is the... (More)

One hundred seventy-two patients with 204 slipped capital femoral epiphyses treated with nailing or pinning were evaluated an average of 28 years after surgery. Follow-up evaluation was obtained by questionnaire in 153 cases (181 hips) and by clinical and radiographic reexamination in 132 cases (157 hips). Segmental collapse was seen in four of 179 hips nailed/pinned in situ and in four of 25 hips operated after reduction. This was the only early complication associated with problems at reexamination. Arthrosis was twice as frequent after reduction (53%) than after fixation in situ (24%). The clinical and radiographic results were better than those from the same region after other methods of treatment. Nailing or pinning in situ is the method of choice when possible, regardless of the degree of slipping. Bilateral slipping was found in 67% of the hips; therefore, prophylactic pinning of the contralateral hip is indicated in cases with unilateral slipping.

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Contribution to journal
publication status
published
in
Clinical Orthopaedics and Related Research
volume
No. 217
pages
11 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:3829499
  • scopus:0023274308
ISSN
0009-921X
language
English
LU publication?
no
id
717ab889-807e-4f00-896e-bc7fa9b34437
date added to LUP
2019-06-25 10:01:05
date last changed
2024-04-02 10:07:52
@article{717ab889-807e-4f00-896e-bc7fa9b34437,
  abstract     = {{<p>One hundred seventy-two patients with 204 slipped capital femoral epiphyses treated with nailing or pinning were evaluated an average of 28 years after surgery. Follow-up evaluation was obtained by questionnaire in 153 cases (181 hips) and by clinical and radiographic reexamination in 132 cases (157 hips). Segmental collapse was seen in four of 179 hips nailed/pinned in situ and in four of 25 hips operated after reduction. This was the only early complication associated with problems at reexamination. Arthrosis was twice as frequent after reduction (53%) than after fixation in situ (24%). The clinical and radiographic results were better than those from the same region after other methods of treatment. Nailing or pinning in situ is the method of choice when possible, regardless of the degree of slipping. Bilateral slipping was found in 67% of the hips; therefore, prophylactic pinning of the contralateral hip is indicated in cases with unilateral slipping.</p>}},
  author       = {{Hagglund, G. and Hannson, L. I. and Sandstrom, S.}},
  issn         = {{0009-921X}},
  language     = {{eng}},
  month        = {{01}},
  pages        = {{190--200}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Clinical Orthopaedics and Related Research}},
  title        = {{Slipped capital femoral epiphysis in Southern Sweden. Long-term results after nailing/pinning}},
  volume       = {{No. 217}},
  year         = {{1987}},
}