OUR TACTICS IN TREATMENT SLIPPED CAPITAL FEMORAL EPIPHYSIS
*S. S. Kadirov
Purpose: Slipped capital femoral epiphysis (SCFE) is often treated by surgical fixation; however, no agreement
exists regarding technique. We analyzed the outcome of in situ fixation with cannulated screw. Materials and
methods: The work is based on the results of observation and treatment of 36 patients (48 joints) with different
forms of juvenile epiphysiolysis of the femoral head, treated in the specialized scientific - practical center of
traumatology and orthopedics from 2011 to 2018. Among these patients there were 75% of boys and 25% of girls
aged 11 to 16 years (mean age was 13.5 years). Results: The total number of cases of SCFE was 36, half of the
children had bilateral SCFE. 2 subjects required additional surgery and mild avascular necrosis of the femoral head
was seen in 1 patient. None had slip progression or chondrolysis. Conclusion: In situ pinning of SCFE with partly
threaded cannulated screw appears to be a feasible and safe method, with few complications. The technique allows
further growth of the femoral neck.
Keywords: Slipped capital femoral epiphysis, hip, cannulated screw, epiphysis of femur head, acute, chronic.
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