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Wheeless' Textbook of Orthopaedics
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Slipped capital femoral epiphysis. Treatment by pinning in situ


Lynch-GJ; Stevens-DB Clin-Orthop. 1987 Aug(221): 260-6 This paper retrospectively reviews 46 hips in 33 patients treated for slipped capital femoral epiphyses (SCFE) between December 1964 and January 1983. The average clinical and roentgenogram follow-up evaluation was seven years. Twenty-nine patients had in-situ pinning and four had primary Southwick osteotomies. Eighty-nine percent of the patients treated had acceptable results. Unacceptable results were directly related to preoperative manipulation and/or pin penetration on x-ray. These results were not dependent on the degree of the slip, which ranged from 7 degrees-94 degrees.



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