[In situ pinning with Kirschner wires for chronic juvenile slipped capital femoral epiphysis]. 2007

Marcin Sibiński, and Marek Drobniewski, and Marek Synder
Klinika Ortopediii OrtopediiDzieciqcej, Uniwersytet Medyczny w Łodzi.

Fixation in situis the most common method of management for different degrees of slip of the proximal capital femoral epiphysis. The aim of our study is to retrospectively analyze final results and complications after in situ pinning with Kirschner wires for stabile slipped capital femoral epiphysis. We retrospectively reviewed clinical records and radiographs of 61 children (17 girls and 33 boys) at the average age of 11.8 years. The average follow-up period was 7.4 years, minimum 3 years. In slips 300 and less (38 hips) vast majority of patients had very good and good subjective results (pain and function), 5% and 8% has satisfactory objective (limping and range of motion) and radiological results respectively. In slips between 30-60 degrees (23 hips) 75%, 60% and 70% had satisfactory subjective, objective and radiological results respectively. One child had chodrolysis that resolved at later follow up. There was no case of AVN. In 6 cases wires migration was found. In situ spinning with Kirschnerwires is simple safe and gives satisfactory results. This method of treatment especially recommended in younger, skeletally immature children with remaining growth of femoral neck.

UI MeSH Term Description Entries
D008297 Male Males
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001858 Bone Nails Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones. Bone Pins,Bone Nail,Bone Pin,Nail, Bone,Nails, Bone,Pin, Bone,Pins, Bone
D001864 Bone Wires Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires. Kirschner Wire,Kirschner Wires,Bone Wire,Wire, Bone,Wire, Kirschner,Wires, Bone,Wires, Kirschner
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D004838 Epiphyses The head of a long bone that is separated from the shaft by the epiphyseal plate until bone growth stops. At that time, the plate disappears and the head and shaft are united. Epiphysis
D004839 Epiphyses, Slipped A complete or partial separation of the EPIPHYSES from the DIAPHYSES. Epiphysiolysis,Epiphysiolyses,Slipped Epiphyses
D005260 Female Females
D005270 Femur Head The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed) Femoral Head,Femoral Heads,Femur Heads,Head, Femoral,Head, Femur
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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