- 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.
DA Kumm MD, J Schmidt MD, S Eisenburger MD, J Rutt MD, and MH Hackenbroch MD. J. Pediatric Orthopaedics. Vol 16, No 2. 1996. p 249.
- Prophylactic Pinning of the Contralateral Hip in Slipped Captial Femoral Epiphysis. Schultz MD et al. JBJS - Am. Aug 2002. p 1305.
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Staging puberty in slipped capital femoral epiphysis: importance of the triradiate cartilage.
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Posterior sloping angle of the capital femoral physis: a predictor of bilaterality in slipped capital femoral epiphysis.
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Prophylactic pinning of the contralateral hip after unilateral slipped capital femoral epiphysis.
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The contralateral slip. An avoidable complication and indication for prophylactic pinning in slipped upper femoral epiphysis.
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Chondrolysis, Osteonecrosis, and Slip Severity in Patients with Subsequent Contralateral Slipped Capital Femoral Epiphysis
