Key result
In situ pinning for slipped capital femoral epiphysis yielded excellent or good outcomes in 90% of hips at an average 11.4-year follow-up, driven by significant postoperative remodeling.
Why the study?
Does in situ pinning improve long-term clinical and radiographic outcomes in children with slipped capital femoral epiphysis?
Observational (n=44)
Does in situ pinning improve long-term clinical and radiographic outcomes in children with slipped capital femoral epiphysis?
Answers are grounded in this paper and cite their sources.
In situ pinning for slipped capital femoral epiphysis yields excellent or good long-term results in 90% of hips, likely due to significant postoperative remodeling.
We reviewed 59 hips in 44 children with slipped capital femoral epiphysis (SCFE), all treated by in situ pinning. The average clinical and radiographic follow-up was 11.4 years. Fifty-three hips (90%) were rated as either excellent or good. Osteonecrosis or chondrolysis developed in five patients. Postoperative remodeling was noted, not only by a process of local resorption and apposition of bone, but also by correction of the disturbed anatomic axes, in proportion to the severity of the slip, together with global thickening of the femoral neck. We believe that the good long-term results after in situ pinning are the consequence of this important remodeling process.
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Bellemans et al. (1996) conducted an observational in Slipped capital femoral epiphysis (n=44). In situ pinning was evaluated on Excellent or good clinical and radiographic rating. In situ pinning for slipped capital femoral epiphysis yielded excellent or good outcomes in 90% of hips at an average 11.4-year follow-up, driven by significant postoperative remodeling.
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