- 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?