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

Akila, Ahmed; Khairy, Hossam Mohamed; Attia, Mohamed El-Sadek; Elmalt, Ahmed Elsayed

doi:10.21608/zumj.2019.14481.1330

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

Document Type : Original Article

Authors

¹ Orthopedic department, El-Sahel Teaching Hospital, Egypt.

² Orthopaedic, faculty of medicine, Zagazig university, Zagazig, Egypt.

³ Orthopaedic department , faculty of medicine, Zagazig university.

⁴ orthopaedic,faculty of medicine,zagazig university,zagazig,Egypt

10.21608/zumj.2019.14481.1330

Abstract

ABSTRACT
Background: Slipped capital femoral epiphysis (SCFE) is the most common hip disorder affecting adolescents between 9 and 15 years old. Early detection and treatment can significantly reduce the complications that can occur due to SCFE such as pain, deformity and hip arthritis. The term "SCFE" is technically incorrect as the femoral epiphysis maintains its normal relationship with the acetabulum while the femoral neck and shaft displace superiorly, in adduction and external rotation deformity.
Objective: To assess the outcome after in situ pinning in management of SCFE in adolescents.
Patients and Methods: The study was carried out at orthopedic department, Zagazig University Hospitals and El-Sahel Teaching Hospital from September 2016 to June 2017. Study was conducted on 20 patients (23 Hips).
Results: The right hip affection is (69.6%) more than left side (30.4%). The study included 23 hips; 16 right hips 7 left hips . Patients presented with pain in different sites; 6 cases (26.1%) with pain over the medial side of the thigh, 8 cases (34.8%) with ipsilateral Knee pain while 9 cases (39.1%) complained of hip pain.
Conclusion: We concluded that in-situ pinning with single cannulated screw is enough for treatment of mild and moderate cases of SCFE cases. Hip external rotation can't be corrected with this technique. The risk of development of AVN of femoral head increased with unstable SCFE. Further slippage occurred in 2 cases after fixation (10° & 15°) slippage.

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