title: Prophylactic pinning in slipped upper femoral epiphysis. Prevention of complications.
abstract: We report the complications of prophylactic pinning of slipped upper femoral epiphysis with Crawford Adams pins in 95 cases. Complications of pin placement were seen in 13.7%. Although seven hips had penetration of the joint, there were no cases of chondrolysis or avascular necrosis. Excavation of the lateral femoral cortex was required at pin removal in 12.5% of cases. Analysis of the growth around pins allowed recommendations to be made regarding pin protrusion. The use of improved fixation devices may reduce the need for multiple pins.
authors.affiliation: Black Notley Hospital, Braintree, Essex, England.
authors.forename: R J
authors.initials: RJ
authors.lastname: Emery
authors.forename: R C
authors.initials: RC
authors.lastname: Todd
authors.forename: D M
authors.initials: DM
authors.lastname: Dunn
mesh_terms: D000293:Adolescent; D000328:Adult; D001858:Bone Nails / Q000009:adverse effects*; D002648:Child; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000601:surgery; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000517:prevention & control* / Q000601:surgery; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011859:Radiography; D012086:Reoperation