Slipped capital femoral epiphysis: a spectrum of surgical care and changes over time

Journal of Children's Orthopaedics
R T Loder

Abstract

To survey the spectrum of surgical care in children with slipped capital femoral epiphysis (SCFE). This information is valuable in counselling the patient about the future treatment course. Data for this study were obtained from the Pediatric Hospital Information System (PHIS) between 2004 and 2015. For all patients with an ICD9 diagnosis of 732.2, gender, ethnicity, hospital, medical record number, date of birth/admission/discharge, type of admission, length of stay, disposition and treatment(s) rendered were collected. A total of 13 168 procedures were performed in 11 058 unique SCFE patients, or 1.2 procedures per patient. Primary procedures were those performed for the initial treatment of the SCFE and secondary procedures as reconstructive and salvage. The majority (11 693, 88.8%) were primary. There was significant variation in the ratio of primary and secondary procedures by institution. There was a decline in in situ fixation as the initial SCFE treatment with an increase in open reduction and internal fixation over the 12-year span. Similarly, there was a significant increase in the number of secondary procedures over time as well as complications and implant removal. There was no change over time in the diagnosis of a...Continue Reading

References

May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·Keti P TokmakovaDan E Mason
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Aug 25, 2010·Journal of Pediatric Orthopedics·Wudbhav N SankarYoung-Jo Kim
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BETA
surgical hip dislocation

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Systat

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