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In situ pinning in slipped capital femoral epiphysis: long-term follow-up studies

Accadbled, Franck and Murgier, Jérôme and Delannes, Bernard and Cahuzac, Jean-Philippe and Sales de Gauzy, Jérôme In situ pinning in slipped capital femoral epiphysis: long-term follow-up studies. (2017) Journal of Children's Orthopaedics, 11 (2). 107-109. ISSN 1863-2521

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Official URL: https://doi.org/10.1302/1863-2548-11-160282

Abstract

Management of moderately displaced slipped capital femoral epiphysis (SCFE) is debated, mostly because of the risks related to open reduction on one hand, and subsequent evolution toward femoroacetabular impingement (FAI) on the other. METHOD: All SCFE cases treated with in situ fixation (ISF) and a minimum of ten years of follow-up beyond skeletal maturity were analysed in a retrospective multicentre study. Coxometry parameters were measured. Long-term results of ISF were meanwhile analysed at our Institution. RESULTS: A total of 222 patients were included. Patient reported outcome measurements were related to the severity of the initial slip. It suggested a 35.5° threshold for slip angle beyond which FAI was more frequent. Only slight remodelling at the head-neck junction is to be expected. CONCLUSION: Based on these findings, it seems reasonable to perform ISF only in SCFE with a slip angle below 35°.

Item Type:Article
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
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Deposited By: Pascal SWIDER
Deposited On:18 Mar 2019 08:38

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