Clinical outcome after transfixation of the epiphysis with Kirschner wires in unstable slipped capital femoral epiphysis.

International Orthopaedics
Konrad SellerRüdiger Krauspe

Abstract

Treatment of slipped capital femoral epiphysis (SCFE) is still controversial. Agreement has not yet been reached on the appropriate time to perform surgery, the necessity of repositioning manoeuvres, the type of implants for stabilisation, or the need for prophylactic treatment of the contralateral side. In this retrospective study, we present 29 patients with unstable (acute and acute-on-chronic) SCFE treated by internal fixation of the epiphysis with three or four Kirschner wires both therapeutically on the affected side and prophylactically on the not (yet) affected side. After hardware removal and mean follow-up of 3.5 years, radiological and clinical examination of hip function was carried out. X-ray in two planes showed no incidence of any slip progression. Applying the score used by Heyman and Herndon, 18 results (62.1%) were classified as excellent, nine (31.1%) as good, one (3.4%) as fair, and one (3.4%) as poor. The rate of severe complications such as chondrolysis and avascular necrosis of the femoral head was low in our series (0% and 6.8%, respectively). This form of therapeutic management shows good clinical results with low complication rates. The slip can be efficiently stabilised, progression is reliably preven...Continue Reading

References

Sep 1, 1991·Journal of Pediatric Orthopedics·H AprinL B Kahn
Jun 1, 1991·The Journal of Bone and Joint Surgery. American Volume·B T CarneyJ Noble
Mar 1, 1990·The Journal of Bone and Joint Surgery. British Volume·R J EmeryD M Dunn
May 1, 1995·Journal of Pediatric Orthopedics·R T LoderG DeSilva
Nov 1, 1993·The Journal of Bone and Joint Surgery. British Volume·B C Vrettos, E B Hoffman
Aug 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R T LoderD D Aronson
Sep 1, 1993·Journal of Pediatric Orthopedics·D WellsF R Kaufman
Jan 1, 1996·Clinical Orthopaedics and Related Research·D D Aronsson, R T Loder
Mar 1, 1996·The Journal of Bone and Joint Surgery. American Volume·T RatteyJ G Wright
Jan 1, 1996·Journal of Pediatric Orthopedics·S B RaoD R Roy
Jan 1, 1996·Journal of Pediatric Orthopedics. Part B·C L StanitskiD F Stanitski
Jan 1, 1996·Journal of Pediatric Orthopedics. Part B·C L StanitskiD F Stanitski
Jan 1, 1996·Journal of Pediatric Orthopedics. Part B·R JerreJ Wallin
Jan 1, 1996·Journal of Pediatric Orthopedics. Part B·G Hägglund
Mar 10, 2001·Journal of Pediatric Orthopedics·J G KennedyM B Millis
Aug 11, 2001·Journal of Pediatric Orthopedics. Part B·K SellerR Krauspe
Aug 15, 2002·The Journal of Bone and Joint Surgery. American Volume·Iván F RubelDavid L Helfet
Mar 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Randall T LoderPatricia Doyle
May 13, 2011·The Journal of Bone and Joint Surgery. American Volume·Michael B Millis, Eduardo N Novais

❮ Previous
Next ❯

Citations

Sep 11, 2010·Der Orthopäde·C ZilkensR Krauspe
Aug 10, 2010·International Orthopaedics·Christoph ZilkensRüdiger Krauspe
Jan 17, 2014·Journal of Children's Orthopaedics·Bettina WesthoffRüdiger Krauspe
Jul 8, 2010·The Journal of Pediatrics·Theodoros TosounidisPeter V Giannoudis
Apr 21, 2011·Acta Orthopaedica·Trude G LehmannLars B Engesæter
Jan 9, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·S Abu AmaraJ Lechevallier
Jun 4, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·S AlshrydaJ M Mason
Dec 23, 2008·Journal of Pediatric Orthopedics·Klaus ParschDominik Parsch
Nov 17, 2015·Journal of Pediatric Orthopedics·Jakob ÖrtegrenCarl J Tiderius
Nov 5, 2014·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Bernd BittersohlRüdiger Krauspe

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.