Hip decompression of unstable slipped capital femoral epiphysis: a systematic review and meta-analysis

Journal of Children's Orthopaedics
Talal IbrahimDavid G Little

Abstract

Slipped capital femoral epiphysis (SCFE) is one of the most common adolescent hip conditions. Unstable SCFE is characterized by sudden and severe hip pain with the inability to weight bear, even with crutches. Osteonecrosis of the femoral head is increased in patients with unstable SCFE. The aim of our study was to systematically review the literature that compares hip decompression to no hip decompression of unstable SCFE. We searched several databases from 1946 to 2014 for any observational or experimental studies that evaluated hip decompression and osteonecrosis of unstable SCFE. We performed a meta-analysis using a random effects model to pool odds ratios (ORs) for the comparison of osteonecrosis between patients undergoing hip decompression and no hip decompression. We also investigated the type of hip decompression performed. Descriptive, quantitative, and qualitative data were extracted. Of the 17 articles identified, nine studies (eight case series and one retrospective cohort study) were eligible for the meta-analysis, with a total of 302 unstable SCFE. The pooled OR = 0.91 of osteonecrosis between hip decompression and no hip decompression was in favor of hip decompression, but was not statistically significant [95 %...Continue Reading

References

Mar 1, 1988·The Journal of Bone and Joint Surgery. British Volume·E J CrawfurdB G Andrews
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Aug 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R T LoderD D Aronson
Mar 10, 2001·Journal of Pediatric Orthopedics·J G KennedyM B Millis
Aug 25, 2001·Journal of Pediatric Orthopedics·S MaedaS Kokubun
Oct 18, 2001·The Journal of Bone and Joint Surgery. British Volume·S A PhillipsN M Clarke
Apr 19, 2002·Journal of Pediatric Orthopedics·J Eric GordonPerry L Schoenecker
Feb 19, 2005·Journal of Pediatric Orthopedics·James F MooneyEllen M Raney
Oct 18, 2007·Operative Orthopädie und Traumatologie·Michael LeunigReinhold Ganz
Sep 25, 2008·Journal of Pediatric Orthopedics·Jose A Herrera-SotoKelly L Vander Have
Dec 23, 2008·Journal of Pediatric Orthopedics·Klaus ParschDominik Parsch
Jan 28, 2010·Journal of Pediatric Orthopedics·Ryan C ChenJ Eric Gordon
Aug 25, 2010·Journal of Pediatric Orthopedics·Wudbhav N SankarYoung-Jo Kim
Aug 29, 2012·Journal of Pediatric Orthopedics·Randall T Loder, Frederick R Dietz
Jan 5, 2013·Clinical Orthopaedics and Related Research·Ira ZaltzJohn C Clohisy
Jun 21, 2013·Journal of Pediatric Orthopedics·Marios G Lykissas, James J McCarthy

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Citations

Jun 17, 2016·The Journal of Bone and Joint Surgery. American Volume·Tim SchraderMackenzie M Herzog
Feb 1, 2019·Journal of Pediatric Orthopedics. Part B·Pamela LangMauricio Silva
Jun 7, 2019·Journal of Pediatric Orthopedics·Smitha E Mathew, A Noelle Larson
Oct 9, 2018·Journal of Children's Orthopaedics·B HerngrenG Hägglund
Nov 11, 2019·Journal of Orthopaedic Surgery and Research·Nicola EbertAlexander S Spiro

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