Results after Preoperative Traction and Pinning in Slipped Capital Femoral EpiphysisK Wires versus Cannulated Screws
作者:
G. Gonzalez-Moran,
B. Carsi,
J. Abril,
J. Albiñana,
期刊:
Journal of Pediatric Orthopaedics
(OVID Available online 1998)
卷期:
Volume 7,
issue 1
页码: 53-58
ISSN:0271-6798
年代: 1998
出版商: OVID
关键词: Slipped capital femoral epiphysis;Pinning;Physeal closure;Traction.
数据来源: OVID
摘要:
We have retrospectively reviewed 53 cases (62 hips) with a diagnosis of slipped capital femoral epiphysis. After admission to our Hospital, a skin longitudinal traction was applied for 2 weeks. All patients were treated afterward with pinning in situ without manipulation in the operating room. Group A (31 hips) consisted of patients treated with smooth K wires and group B (31 hips) of patients treated with cannulated screws. We found a high incidence of pin penetration in group A (27 hips), whereas there was just one case in group B. Physeal closure was considered when 75% of proximal growth plate disappeared in the frog lateral view and both groups showed similar values (7 months). Chondrolysis was observed in just three cases in group A, and one case had an avascular necrosis. Few complications were observed compared with the high rate of pin penetration, and we suggest that preoperative traction may be a relevant factor contributing to the low incidence of avascular necrosis (1,6%).
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