The use of a two C-arm technique in the treatment of slipped capital femoral epiphysis.
نویسندگان
چکیده
The technique of fluoroscopically guided percutaneous pinning is the treatment of choice for a slipped capital femoral epiphysis.1,2 Traditionally, hip pinnings have been performed with the use of a fracture table and a single C-arm.3 Although this technique works well, it can add operative time associated with repositioning a single Carm from the anteroposterior (AP) to lateral position and increased radiographic exposure as the radiographic technician centers to image on the hip. An increased risk of contamination also exists with moving the C-arm back and forth from the AP to the lateral position. Lee and Chapman4 recently described a new technique using a radiolucent operating table and rotating the hip to obtain the appropriate views. This technique also works well but may be difficult if the slip is unstable, and in larger patients, often results in bending the guide pin from the soft-tissue forces. The use of two C-arm machines simultaneously can help with the ease and speed with which this surgery can be performed, decreases the time of radiographic exposure and risk of contamination, and does not require moving the hip into a frog-leg position.
منابع مشابه
Slipped capital femoral epiphysis in skeletally immature patients.
Fixation by a single screw is considered the current treatment of choice for a slipped capital femoral epiphysis. This approach promotes premature physeal closure. The use of a modified, standard, single, cannulated screw designed to maintain epiphyseal fixation without causing premature closure of the physis was reviewed in ten patients. The nine boys and one girl aged between 10.6 and 12.6 ye...
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Radiological evidence of femoroacetabular impingement in mild slipped capital femoral epiphysis: a mean follow-up of 14.4 years after pinning in situ.
Conventional treatment of mild slipped capital femoral epiphysis consists of fixation in situ with wires or screws. Recent contributions to the literature suggest that even a mild slip may lead to early damage of the acetabular labrum and adjacent cartilage by abutment of a prominent femoral metaphysis. It has been suggested that the appropriate treatment in mild slipped capital femoral epiphys...
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عنوان ژورنال:
- Orthopedics
دوره 27 10 شماره
صفحات -
تاریخ انتشار 2004