[Fixation Techniques for Slipped Capital Femoral Epiphysis : Principles, Surgical Techniques, and Complications]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2019 May 24

PMID 31119306

Citations 2

Authors

C Lederer

H S Hosalkar

C J Tiderius

B Westhoff

B Bittersohl

R Krauspe

Affiliations

Soon will be listed here.

Abstract

The purpose of this review is to present the pros and cons as well as the surgical techniques of conventional implants used for fixation of slipped capital femoral epiphysis (SCFE). Worth mentioning are K‑wires, Hansson pins, transfixing screws, and gliding screws. We searched PubMed for "ECF" and "SCFE" in combination with "in situ fixation," "pin," "wire," "screw," and "nail." We considered Johansson nail, Knowles pin, and Nyström nail to be obsolete and of historical interest only. We noticed a trend from absolute stability towards some form of dynamic fixation over time, likely related to considerations of growth disturbance of the proximal femur and also the inherent potential for remodeling with time.

Citing Articles

[Evaluation of care for slipped capital femoral epiphysis (SCFE) in Germany].

Amann E, Schwarze M, Noll Y, Windhagen H, Radtke K Orthopadie (Heidelb). 2023; 53(1):11-22.

PMID: 37964106 PMC: 10781806. DOI: 10.1007/s00132-023-04455-6.

Advantages of Telescopic Screw in Slipped Capital Femoral Epiphysis Treatment: A Retrospective Study and Review of the Literature.

Ulici A, Ionescu A, Dogaru D, Hotoboc O, Nahoi C, Zamfir C Children (Basel). 2022; 9(4).

PMID: 35455513 PMC: 9026982. DOI: 10.3390/children9040469.

References

Early S, Hedman T, REYNOLDS R . Biomechanical analysis of compression screw fixation versus standard in situ pinning in slipped capital femoral epiphysis. J Pediatr Orthop. 2001; 21(2):183-8. View

Seller K, Raab P, Wild A, Krauspe R . Risk-benefit analysis of prophylactic pinning in slipped capital femoral epiphysis. J Pediatr Orthop B. 2001; 10(3):192-6. View

Hackenbroch M, Kumm D, Rutt J . [Dyamic screw fixation for slipped capital femoral epiphysis. Treatment results]. Orthopade. 2002; 31(9):871-9. DOI: 10.1007/s00132-002-0375-0. View

Ward W, Stefko J, Wood K, Stanitski C . Fixation with a single screw for slipped capital femoral epiphysis. J Bone Joint Surg Am. 1992; 74(6):799-809. View

Ilchmann T, Parsch K . Complications at screw removal in slipped capital femoral epiphysis treated by cannulated titanium screws. Arch Orthop Trauma Surg. 2006; 126(6):359-63. DOI: 10.1007/s00402-006-0126-5. View

Upasani V, Kishan S, Oka R, Mahar A, Rohmiller M, Pring M . Biomechanical analysis of single screw fixation for slipped capital femoral epiphysis: are more threads across the physis necessary for stability?. J Pediatr Orthop. 2006; 26(4):474-8. DOI: 10.1097/01.bpo.0000217732.24041.81. View

Seller K, Wild A, Westhoff B, Raab P, Krauspe R . Radiological evaluation of unstable (acute) slipped capital femoral epiphysis treated by pinning with Kirschner wires. J Pediatr Orthop B. 2006; 15(5):328-34. DOI: 10.1097/01202412-200609000-00005. View

Reize P, Rudert M . Kirschner wire transfixation of the femoral head in slipped capital femoral epiphysis in children. Oper Orthop Traumatol. 2007; 19(4):345-57. DOI: 10.1007/s00064-007-1210-x. View

Miyanji F, Mahar A, Oka R, Pring M, Wenger D . Biomechanical comparison of fully and partially threaded screws for fixation of slipped capital femoral epiphysis. J Pediatr Orthop. 2007; 28(1):49-52. DOI: 10.1097/bpo.0b013e31815a5fa4. View

10.

Loder R . What is the cause of avascular necrosis in unstable slipped capital femoral epiphysis and what can be done to lower the rate?. J Pediatr Orthop. 2013; 33 Suppl 1:S88-91. DOI: 10.1097/BPO.0b013e318277172e. View

11.

Kaewpornsawan K, Sukvanich P, Eamsobhana P, Chotigavanichaya C . The most important risk factors for avascular necrosis and chondrolysis in patients with slipped capital femoral epiphysis. J Med Assoc Thai. 2014; 97 Suppl 9:S133-8. View

12.

Wolfle-Roos J, Urlaub S, Reichel H, Taurman R . Significantly lower femoral neck growth in screw fixation of the asymptomatic contralateral hip in unilateral slipped capital femoral epiphysis. J Pediatr Orthop B. 2016; 25(3):197-201. DOI: 10.1097/BPB.0000000000000285. View

13.

Ortegren J, Bjorklund-Sand L, Engbom M, Tiderius C . Continued Growth of the Femoral Neck Leads to Improved Remodeling After In Situ Fixation of Slipped Capital Femoral Epiphysis. J Pediatr Orthop. 2016; 38(3):170-175. DOI: 10.1097/BPO.0000000000000797. View

14.

Moriarity A, Kennedy J, Baker J, Kiely P . Levels of Evidence in the Treatment of Slipped Capital Femoral Epiphysis: A Systematic Review. Orthop Rev (Pavia). 2016; 8(2):6303. PMC: 4933817. DOI: 10.4081/or.2016.6303. View

15.

Kohno Y, Nakashima Y, Kitano T, Irie T, Kita A, Nakamura T . Is the timing of surgery associated with avascular necrosis after unstable slipped capital femoral epiphysis? A multicenter study. J Orthop Sci. 2016; 22(1):112-115. DOI: 10.1016/j.jos.2016.08.012. View

16.

Hagglund G . Pinning the slipped and contralateral hips in the treatment of slipped capital femoral epiphysis. J Child Orthop. 2017; 11(2):110-113. PMC: 5421340. DOI: 10.1302/1863-2548-11-170022. View

17.

Terjesen T, Wensaas A . Prognostic factors for long-term outcome of chronic slipped capital femoral epiphysis treated with fixation . J Child Orthop. 2017; 11(2):114-119. PMC: 5421341. DOI: 10.1302/1863-2548-11-160285. View

18.

Leblanc E, Bellemore J, Cheng T, Little D, Birke O . Biomechanical considerations in slipped capital femoral epiphysis and insights into prophylactic fixation. J Child Orthop. 2017; 11(2):120-127. PMC: 5421342. DOI: 10.1302/1863-2548-11-170012. View

19.

Loder R . Slipped capital femoral epiphysis: a spectrum of surgical care and changes over time. J Child Orthop. 2017; 11(2):154-159. PMC: 5421347. DOI: 10.1302/1863-2548-11-170005. View

20.

Naseem H, Chatterji S, Tsang K, Hakimi M, Chytas A, Alshryda S . Treatment of stable slipped capital femoral epiphysis: systematic review and exploratory patient level analysis. J Orthop Traumatol. 2017; 18(4):379-394. PMC: 5685987. DOI: 10.1007/s10195-017-0469-4. View