Advanced

Pinning the slipped and contralateral hips in the treatment of slipped capital femoral epiphysis

Hägglund, G. LU (2017) In Journal of Children's Orthopaedics 11(2 Special Issue). p.110-113
Abstract

Purpose To describe and comment on the treatment of the slipped capital femoral epiphysis (SCFE) with pinning and to present the pros and cons of prophylactic pinning of the contralateral hip. Summary Pinning the SCFE aims to fix the epiphysis and prevent further slipping. Some devices allow for further growth and remodeling of the femoral neck post-operatively. This results in maintained femoral offset and probably reduced risk of femoroacetabular impingement. There are currently no long-term follow-up studies showing less complications or better function than after in situ fixation. The contralateral hip can be managed by prophylactic pinning or close follow-up with repeated radiographic examinations. Which of the methods is best is... (More)

Purpose To describe and comment on the treatment of the slipped capital femoral epiphysis (SCFE) with pinning and to present the pros and cons of prophylactic pinning of the contralateral hip. Summary Pinning the SCFE aims to fix the epiphysis and prevent further slipping. Some devices allow for further growth and remodeling of the femoral neck post-operatively. This results in maintained femoral offset and probably reduced risk of femoroacetabular impingement. There are currently no long-term follow-up studies showing less complications or better function than after in situ fixation. The contralateral hip can be managed by prophylactic pinning or close follow-up with repeated radiographic examinations. Which of the methods is best is still controversial due to different opinions on the risk of bilateral SCFE, the consequences of a later contralateral slip and the risks of prophylactic pinning. Although research supports prophylactic pinning the child and the family’s preference is crucial.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Contralateral hips, Pinning, SCFE, Slipped capital femoral epiphysis
in
Journal of Children's Orthopaedics
volume
11
issue
2 Special Issue
pages
4 pages
publisher
Springer
external identifiers
  • scopus:85026848045
ISSN
1863-2521
DOI
10.1302/1863-2548.11.170022
language
English
LU publication?
yes
id
7898b8d1-70de-4706-bbb3-32897b75334a
date added to LUP
2017-08-30 14:30:21
date last changed
2018-01-07 12:16:37
@article{7898b8d1-70de-4706-bbb3-32897b75334a,
  abstract     = {<p>Purpose To describe and comment on the treatment of the slipped capital femoral epiphysis (SCFE) with pinning and to present the pros and cons of prophylactic pinning of the contralateral hip. Summary Pinning the SCFE aims to fix the epiphysis and prevent further slipping. Some devices allow for further growth and remodeling of the femoral neck post-operatively. This results in maintained femoral offset and probably reduced risk of femoroacetabular impingement. There are currently no long-term follow-up studies showing less complications or better function than after in situ fixation. The contralateral hip can be managed by prophylactic pinning or close follow-up with repeated radiographic examinations. Which of the methods is best is still controversial due to different opinions on the risk of bilateral SCFE, the consequences of a later contralateral slip and the risks of prophylactic pinning. Although research supports prophylactic pinning the child and the family’s preference is crucial.</p>},
  author       = {Hägglund, G.},
  issn         = {1863-2521},
  keyword      = {Contralateral hips,Pinning,SCFE,Slipped capital femoral epiphysis},
  language     = {eng},
  number       = {2 Special Issue},
  pages        = {110--113},
  publisher    = {Springer},
  series       = {Journal of Children's Orthopaedics},
  title        = {Pinning the slipped and contralateral hips in the treatment of slipped capital femoral epiphysis},
  url          = {http://dx.doi.org/10.1302/1863-2548.11.170022},
  volume       = {11},
  year         = {2017},
}