Intra-operative arthrography facilitates accurate screw fixation of a slipped capital femoral epiphysis.
نویسندگان
چکیده
We report the case of a 13-year-old obese child presenting with bilateral stable slipped capital femoral epiphyses, which were managed by percutaneous single screw fixation in situ under image intensifier control using arthrography.
منابع مشابه
In situ screw fixation of slipped capital femoral epiphysis with a novel approach: a double-cohort controlled study
Purpose In situ fixation for mild to moderate slipped capital femoral epiphysis (SCFE) remains an acceptable treatment methodology in most centers. Satisfactory fixation results have been reported with the procedure using either the fracture table or radiolucent table, both of which allow the hip to be imaged during the procedure. The position of the pin within the center of the femoral head is...
متن کاملProgressive slip after removal of screw fixation in slipped capital femoral epiphysis: two case reports
UNLABELLED INTRODUCTION In slipped capital femoral epiphysis the femoral neck displaces relative to the head due to weakening of the epiphysis. Early recognition and adequate surgical fixation is essential for a good functional outcome. The fixation should be secured until the closure of the epiphysis to prevent further slippage. A slipped capital femoral epiphysis should not be confused wit...
متن کاملBilateral epiphyseal migration following fixation for slipped capital femoral epiphyses in a hypothyroid child.
Progression of slipped capital femoral epiphysis following in situ screw fixation typically occurs through loosening of the screw in the metaphysis. Epiphyseal migration off the screw due to physeal growth is rare. We report epiphyseal migration off bilateral screws in a child undergoing thyroid replacement therapy. Patients with mild and moderate slipped capital femoral epiphysis and endocrine...
متن کاملTorsional Strength of Single–versus Double–screw Fixation in a Model of Unstableslipped Capital Femoral Epiphysis
INTRODUCTION: Slipped capital femoral epiphysis (SCFE) is the most common hip disorder of adolescent children [1]. It results in fracture of the growth cartilage, separating the proximal femoral epiphysis from the metaphysis, due to hormonal and mechanical factors [2]. The most widely accepted treatment for stable SCFE (defined by the ability to bear weight on the affected limb) has been a sing...
متن کاملBiomechanical analysis of single screw fixation for slipped capital femoral epiphysis: are more threads across the physis necessary for stability?
PURPOSE To evaluate single screw fixation stability, in the treatment of slipped capital femoral epiphysis, as a function of screw thread distribution across the physis. STUDY DESIGN In vitro biomechanical study. METHODS Thirty porcine proximal femurs were sectioned through the physeal line and stabilized with a cannulated 7.3-mm stainless steel AO screw. The distal 16 mm of each screw was ...
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عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 86 8 شماره
صفحات -
تاریخ انتشار 2004