Percutaneous in situ fixation of slipped capital femoral epiphysis using two threaded Steinmann pins.
Twenty-six patients with 34 slipped capital femoral epiphyses were treated by percutaneous in situ pinning with two 5/32-inch threaded Steinmann pins. Twenty-three patients with 31 hips were followed-up until the time of epiphyseal closure and pin removal. The average time to closure was 8.5 months (range, 3-25). The average operative time for pinning was 53 min (range, 18-115). The average operative time for pin removal was 42 min (range, 12-132). Complications included two progressive slips, two poorly placed pins, one pin breakage during removal, and one case of capital necrosis. This technique is a quick, efficient means of stabilizing the slipped capital femoral epiphysis, with case of hardware removal.
Nonweiler
B
B
Department of Orthopaedic Surgery, University of California Irvine, Los Angeles, USA.
Hoffer
M
M
Weinert
C
C
Rosenfeld
S
S
D000293:Adolescent; D000758:Anesthesia; D001858:Bone Nails / Q000009:adverse effects; D002648:Child; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005271:Femur Head Necrosis / Q000209:etiology; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects; D008297:Male; D016348:Osseointegration; D011859:Radiography; D012086:Reoperation; D013530:Surgical Wound Infection / Q000209:etiology; D016474:Weight-Bearing