SCFE: Should the Contralateral Hip be Pinned?


- Controversies: Should the Contralateral Hip be Pinned?
    - many surgeons note that it is difficult to maintained close follow up of the contra-lateral (un-pinned) hip which can often slip despite
              good compliance on the part of the patient;
    - consider prophylactic pinning of the contralateral hip in patients at high risk for contralateral slip (blacks, obese children, and w/ endocrinopathies);
    - also note that contra-lateral pinning will minimize leg length deformity;


    - references:
           - Prophylactic dynamic screw fixation of the asymptomatic hip in slipped capital femoral epiphysis
           - Prophylactic pinning of the contralateral hip in slipped capital femoral epiphysis : evaluation of long-term outcome for the contralateral hip with use of decision analysis. 
           - Staging puberty in slipped capital femoral epiphysis: importance of the triradiate cartilage.
           - Posterior sloping angle of the capital femoral physis: a predictor of bilaterality in slipped capital femoral epiphysis.
           - Prophylactic pinning of the contralateral hip after unilateral slipped capital femoral epiphysis.
           - The contralateral slip. An avoidable complication and indication for prophylactic pinning in slipped upper femoral epiphysis.
           - Chondrolysis, Osteonecrosis, and Slip Severity in Patients with Subsequent Contralateral Slipped Capital Femoral Epiphysis
           - Two cases of avascular necrosis after prophylactic pinning of the asymptomatic, contralateral femoral head for slipped capital femoral epiphysis: case report and review of the literature.
           - Slipped capital femoral epiphysis: is it worth the risk and cost not to offer prophylactic fixation of the contralateral hip?
           - What Are the Risks of Prophylactic Pinning to Prevent Contralateral Slipped Capital Femoral Epiphysis?



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, November 2, 2015 4:08 pm