Biomaterial Database

Closure of the physis after pinning of slipped capital femoral epiphysis. 1993

R P Stanton, and Y A Shelton

Editorial Services, Alfred I. duPont Institute, Wilmington, DE 19899.

A study was conducted to determine what effect pinning in situ for slipped capital femoral epiphysis (SCFE) had on the timing of subsequent closure of the growth plate. Eighty-nine patients with a SCFE were reviewed. Twenty-six patients with a unilateral SCFE were treated with closed pinning in situ; no manipulative reductions were performed. The timing of physeal closure was assessed using postoperative radiographs of both pinned and non-pinned sides. The average time until physeal closure was 12.0 months for the pinned physis and 22.2 months for the non-pinned physis. In two cases, the physes closed simultaneously, and in no patient did the non-pinned physis close earlier than the pinned physis. The pinned physes closed an average of 10.2 months (range: 0 to 22) earlier than the unpinned physes. No difference was noted in the rates of closure with different types of internal fixation. This study supports the theory that pinning SCFE in situ causes early closure of the physis.

UI	MeSH Term	Description	Entries
D008297	Male		Males
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
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
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
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006132	Growth Plate	The area between the EPIPHYSIS and the DIAPHYSIS within which bone growth occurs.	Cartilage, Epiphyseal,Epiphyseal Cartilage,Epiphyseal Plate,Cartilages, Epiphyseal,Epiphyseal Cartilages,Epiphyseal Plates,Growth Plates,Plate, Epiphyseal,Plate, Growth,Plates, Epiphyseal,Plates, Growth
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths