Treatment of slipped capital femoral epiphysis with a cannulated-screw technique.
Sixty patients (eighty hips) who had slipped capital femoral epiphysis were treated by epiphyseodesis with a cannulated-screw technique. Forty-nine patients (sixty-seven hips) were available for follow-up, forty-four (sixty hips) of whom were followed for a minimum of two years. Thirty-five patients (forty-six hips) were followed until the hardware was removed. Of seventy-two hips in which contrast medium was injected, arthrographic results were obtained in three. In these three hips, there was evidence of pre-existing narrowing of the joint space. Four patients (six hips) who did not have evidence of penetration by a screw or guide-wire had evidence of either pre-existing chondrolysis or osteoarthrosis. Chondrolysis did not develop postoperatively in any patient who had no evidence of it preoperatively.
Koval
K J
KJ
Department of Orthopaedics, Hospital for Joint Diseases, New York City, N.Y. 10003.
Lehman
W B
WB
Rose
D
D
Koval
R P
RP
Grant
A
A
Strongwater
A
A
D000293:Adolescent; D001175:Arthrography; D001863:Bone Screws; D002648:Child; D004839:Epiphyses, Slipped / Q000601:surgery*; D005260:Female; D005270:Femur Head / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D012189:Retrospective Studies