In situ pinning of hip for stable slipped capital femoral epiphysis on a radiolucent operating table.
Patients with stable slipped capital femoral epiphysis (SCFE) usually can ambulate at the time of diagnosis. Satisfactory results have been reported after percutaneous in situ pinning using a fracture table. The authors describe a technique to determine the skin-pin entry point for percutaneous pinning of the hip on a regular radiolucent operating table. The pin entry point determined by this modified method was reliable in 15 SCFEs in 13 patients. Pinning on a regular radiolucent table was much easier, without the need to transfer obese patients to a fracture table. It was also useful when a bilateral pinning procedure was performed using single draping. Obtaining modified frog-leg lateral radiographs in patients with a stable SCFE was not associated with avascular necrosis or chondrolysis.
Lee
Francis Young-In
FY
Department of Orthopaedic Surgery, The Children's Hospital of New York, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA. fl127@columbia.edu
Chapman
Cary B
CB
D000293:Adolescent; D001863:Bone Screws; D002648:Child; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging* / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging* / Q000601:surgery*; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000517:prevention & control; D006801:Humans; D008297:Male; D009873:Operating Rooms; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D011446:Prospective Studies; D011859:Radiography; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D013523:Surgical Equipment; D016896:Treatment Outcome