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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?