Comparison of the treatment of slipped capital femoral epiphysis with K-wires and cannulated titanium screws

Zeitschrift für Orthopädie und Unfallchirurgie
U MausS Andereya

Abstract

The treatment of slipped capital femoral epiphysis (SCFE) is usually treated operatively, but there is still no consensus about the method to be used. Up to a 30 degrees degree of slipping, the epiphysis is normally fixed in situ. The aim of our study was to compare the intermediate results after fixation in situ by K-wires versus cannulated titanium screws (Königsee-Implantate, Königsee-Aschau, Germany). In this study 46 patients with SCFE grade I and II and mostly chronic slipping of the epiphysis were included. After fixation in situ and, if necessary, careful, closed reposition, the patients were clinically and radiologically followed-up for one year. The clinical results were documented by the score adapted from Heyman and Herndon. Furthermore, MRI scans were done to evaluate the vitality of the epiphysis pre- and postoperatively, when titanium screws were used. Clinical follow-up showed comparable results in the clinical scores after fixation by K-wires or cannulated titanium screws (3.13 +/- 1.02 vs. 3.10 +/- 1.01). After the treatment with titanium screws we saw a higher rate of abnormal gait (33.3 % vs. 19 %), a decreased rate of the positive Drehmann sign (10 % vs. 38 %) and a lower rate of revisions (16 % vs. 50 %) i...Continue Reading

Citations

Mar 22, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Wei WangZiming Yu
Mar 6, 2010·Anatomical Science International·Priscilla Maria Fernandes AbdalaJoão Paulo Mardegan Issa
Dec 8, 2015·The Bone & Joint Journal·I S VanheganA Hashemi-Nejad
Sep 11, 2010·Der Orthopäde·C ZilkensR Krauspe
Mar 13, 2012·Journal of Pediatric Orthopedics. Part B·Julia V WoelfleManfred Nelitz
Nov 5, 2014·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Bernd BittersohlRüdiger Krauspe

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