Fixation of slipped capital femoral epiphyses with unthreaded 2-mm wires.
Twenty chronic and three acute-on-chronic slipped capital femoral epiphyses (SCFEs) were fixed with unthreaded 2-mm wires. Nineteen hips were fixed with three wires, and four with four wires. Postoperatively, patients bore full weight after 6 weeks. There were no pin penetrations or cases of chondrolysis. No femoral heads grew off the wires. Fifteen hips showed no change in the head-shaft angle postoperatively. Of the remaining eight, two improved their head-shaft angles in the anteroposterior (AP) view (6,7 degrees), and five improved in the lateral view (6-13 degrees, average, 11 degrees). Two hips worsened in the AP view (9,10 degrees), and none in the lateral view.
Strong
M
M
Department of Surgery, Polish-American Children's Hospital, Medical Academy, Kraków, Poland.
Lejman
T
T
Michno
P
P
Sulko
J
J
D000293:Adolescent; D001696:Biomechanical Phenomena; D001864:Bone Wires; D002648:Child; D004839:Epiphyses, Slipped / Q000601:surgery*; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000209:etiology; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D016268:Internal Fixators; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012189:Retrospective Studies; D016474:Weight-Bearing