scholarly journals Salvage of failed in-situ pinning in severe unstable slipped capital femoral physis by surgical dislocation and capital realignment

2020 ◽  
Vol 11 (2) ◽  
pp. 217-221 ◽  
Author(s):  
Balasubramanian Balakumar ◽  
Kishan Patel ◽  
Sanjeev Madan
Keyword(s):  
Surgical Dislocation ◽  
Femoral Physis ◽  
In Situ Pinning

The outcome of in situ pinning in treatment of slipped capital femoral epiphysis in adolescents

2019 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed Akila ◽  
Hossam Khairy ◽  
Mohamed Attia ◽  
ahmed elmalt
Keyword(s):  
Slipped Capital Femoral Epiphysis ◽  
In Situ Pinning

scholarly journals Caso Clínico: Luxación Controlada de Cadera. Epifisiólisis de Cabeza Femoral

2018 ◽  
Vol 10 (2) ◽  
pp. 175-178
Author(s):  
Christian Romeo Bravo Aguilar ◽  
Franklin Xavier Bravo Aguilar ◽  
Adriana Abigail Guzmán Villa
Keyword(s):  
Femoral Head ◽  
High Body Mass Index ◽  
Long Term Results ◽  
Adequate Treatment ◽  
Surgical Dislocation ◽  
In Situ Fixation ◽  
Lancinating Pain ◽  
The Right ◽  
Dislocation Of The Hip

BACKGROUND: The epiphysiolysis of the femoral head is the displacement of the epiphysis with respect to the metaphysis, in anterosuperior direction; it is etiology is unknown, frequent in adolescents, peripubertal period, and with high body mass index, average age between 12 and 18 years. It is incidence is variable, 0.2 (Japan) to 10 (United States) per 100 000 inhabitants. It is characterized by progressive pain in the hip, with irradiation to the groin or knee, is associated with lameness; with the early detection, an adequate treatment can be established, the most accepted one is the in situ fixation with central screws. CASE REPORT: A 14-year-old female patient with no pathological history attended the Children's Orthopedic Service due to the chronic lancinating pain of the right hip, which increases with walking, it is diagnosed by clinical examination and complementary exams of femoral head epiphysiolysis. Surgical dislocation of the hip and anatomical open reduction with placement of spongy screws was performed. EVOLUTION: On the third day of surgery, hospital discharge is decided; walking with crutches and without support during a postoperative month. The osteosynthesis remained for a year with monthly controls and corresponding physiotherapy; it has been evidenced favorable evolution; hip mobility arches preserved, normal ambulation, without complications CONCLUSIONS: The initial treatment of a patient with epiphysiolysis of stable femoral head depends on the evolution time and is done by fixing with screws or needles with of anatomical dislocation of the hip and osteoplasty of femoral neck remodeling. Most patients do not develop necrosis or chondro- lysis and long-term results with in situ fixation are usually excellent, unlike patients with late diagnosis.

scholarly journals Modified Dunn Procedure is Superior to In Situ Pinning for Short-term Clinical and Radiographic Improvement in Severe Stable SCFE

2014 ◽  
Vol 473 (6) ◽  
pp. 2108-2117 ◽  
Author(s):  
Eduardo N. Novais ◽  
Mary K. Hill ◽  
Patrick M. Carry ◽  
Travis C. Heare ◽  
Ernest L. Sink
Keyword(s):  
Short Term ◽  
In Situ Pinning ◽  
Radiographic Improvement
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