Management of slipped capital femoral epiphysis: What hardware we can use in osteosynthesis in situ?

Published: 28 October 2022
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Epiphysiolysis (or Slipped Capital Femoral Epiphysis, SCFE) is a hip disorder involving children during prepubescence age. Traditionally, it is defined as a postero-medial slippage of the femoral epiphysis on the metaphysis, but, considering that femoral epiphysis is almost “stored” in the acetabulum, it could be better defined as laterally and anterior slippage of femoral metaphysis under the epiphysis.

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Citations

Falciglia F, Aulisa AG, Giordano M, Guzzanti V. Fixation in slipped capital femoral epiphysis avoiding femoral-acetabular impingement. J Orthop Surg Res 2017;12:163. DOI: https://doi.org/10.1186/s13018-017-0663-3
Novais EN, Hill MK, Carry PM, et al. Modified Dunn procedure is superior to in situ pinning for short-term clinical and radiographic improvement in severe stable SCFE. Clin Orthop Relat Res 2015;473:2108–17. DOI: https://doi.org/10.1007/s11999-014-4100-1
Hansson G, Nathorst-Westfelt J. Management of the contralateral hip in patients with unilateral slipped upper femoral epiphysis: to fix or not to fix--consequences of two strategies. J Bone Joint Surg Br 2012;94:596–602. DOI: https://doi.org/10.1302/0301-620X.94B5.28322
Sailhan F, Courvoisier A, Brunet O, et al. Continued growth of the hip after fixation of slipped capital femoral epiphysis using a single cannulated screw with a proximal threading. J Child Orthop 2011;5:83–8. DOI: https://doi.org/10.1007/s11832-010-0324-0
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Guzzanti V, Falciglia F, Stanitski CL. Slipped capital femoral epiphysis in skeletally immature patients. J Bone Joint Surg Br 2004;86:731–6. DOI: https://doi.org/10.1302/0301-620X.86B5.14397
Wensaas A, Svenningsen S. Behandling av epiphysiolysis capitis femoris med spesialkonstruert collumskrue [Slipped capital femoral epiphysis treated with a specially designed screw]. Tidsskr Nor Laegeforen 2005;125:2788-90. Norwegian.
Morash K, Orlik B, El-Hawary R, et al. Femoral neck growth and remodeling with free-gliding screw fixation of slipped capital femoral epiphysis. J Pediatr Orthop 2021;41:e309–15. DOI: https://doi.org/10.1097/BPO.0000000000001770

How to Cite

Merenda, A., Falciglia, F., Aletto, C., Aulisa, A. G., & Toniolo, R. M. (2022). Management of slipped capital femoral epiphysis: What hardware we can use in osteosynthesis <em>in situ</em>?. La Pediatria Medica E Chirurgica, 44(s1). https://doi.org/10.4081/pmc.2022.297

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