Prophylactic pinning for slipped capital femoral epiphysis: does it affect proximal femoral morphology?

Gerard R. Cousins; Donald M. Campbell; Neil I. L. Wilson; Jamie G. B. Maclean

doi:10.1097/BPB.0000000000000252

Prophylactic pinning for slipped capital femoral epiphysis: does it affect proximal femoral morphology?

Gerard R. Cousins, Donald M. Campbell, Neil I. L. Wilson, Jamie G. B. Maclean

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

This study was designed to determine whether prophylactic pinning of the unaffected hip in unilateral slipped capital femoral epiphysis affects the proximal femoral morphology. Twenty-four hips prophylactically pinned were compared with 26 cases observed. The articulotrochanteric distance (ATD) and the trochanteric-trochanteric distance (TTD) were measured. Postoperative radiographs were compared with final follow-up radiographs. The final TTD : ATD ratio was higher (P=0.048) in the pinned group, suggesting relative coxa vara/breva. There was a smaller difference between the two hips in the prophylactically pinned group (0.7) as opposed to those observed (1.47). Prophylactic pinning does not cause growth to stop immediately but alters the proximal femoral morphology.

Original language	English
Pages (from-to)	202-206
Number of pages	5
Journal	Journal of Pediatric Orthopaedics B
Volume	25
Issue number	3
DOIs	https://doi.org/10.1097/BPB.0000000000000252
Publication status	Published - May 2016

Keywords

Adolescent
Bone nails
Child
Female
Femur head
Humans
Male
Pelvic bones
Prophylactic surgical procedures
Slipped capital femoral epiphyses
Treatment outcome
Journal article

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10.1097/BPB.0000000000000252

Cite this

@article{be59c36977314b75aeef0a82b8c8d1cc,

title = "Prophylactic pinning for slipped capital femoral epiphysis: does it affect proximal femoral morphology?",

abstract = "This study was designed to determine whether prophylactic pinning of the unaffected hip in unilateral slipped capital femoral epiphysis affects the proximal femoral morphology. Twenty-four hips prophylactically pinned were compared with 26 cases observed. The articulotrochanteric distance (ATD) and the trochanteric-trochanteric distance (TTD) were measured. Postoperative radiographs were compared with final follow-up radiographs. The final TTD : ATD ratio was higher (P=0.048) in the pinned group, suggesting relative coxa vara/breva. There was a smaller difference between the two hips in the prophylactically pinned group (0.7) as opposed to those observed (1.47). Prophylactic pinning does not cause growth to stop immediately but alters the proximal femoral morphology.",

keywords = "Adolescent, Bone nails, Child, Female, Femur head, Humans, Male, Pelvic bones, Prophylactic surgical procedures, Slipped capital femoral epiphyses, Treatment outcome, Journal article",

author = "Cousins, {Gerard R.} and Campbell, {Donald M.} and Wilson, {Neil I. L.} and Maclean, {Jamie G. B.}",

note = "No funding info",

year = "2016",

month = may,

doi = "10.1097/BPB.0000000000000252",

language = "English",

volume = "25",

pages = "202--206",

journal = "Journal of Pediatric Orthopaedics B",

issn = "1060-152X",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "3",

}

TY - JOUR

T1 - Prophylactic pinning for slipped capital femoral epiphysis

T2 - does it affect proximal femoral morphology?

AU - Cousins, Gerard R.

AU - Campbell, Donald M.

AU - Wilson, Neil I. L.

AU - Maclean, Jamie G. B.

N1 - No funding info

PY - 2016/5

Y1 - 2016/5

N2 - This study was designed to determine whether prophylactic pinning of the unaffected hip in unilateral slipped capital femoral epiphysis affects the proximal femoral morphology. Twenty-four hips prophylactically pinned were compared with 26 cases observed. The articulotrochanteric distance (ATD) and the trochanteric-trochanteric distance (TTD) were measured. Postoperative radiographs were compared with final follow-up radiographs. The final TTD : ATD ratio was higher (P=0.048) in the pinned group, suggesting relative coxa vara/breva. There was a smaller difference between the two hips in the prophylactically pinned group (0.7) as opposed to those observed (1.47). Prophylactic pinning does not cause growth to stop immediately but alters the proximal femoral morphology.

AB - This study was designed to determine whether prophylactic pinning of the unaffected hip in unilateral slipped capital femoral epiphysis affects the proximal femoral morphology. Twenty-four hips prophylactically pinned were compared with 26 cases observed. The articulotrochanteric distance (ATD) and the trochanteric-trochanteric distance (TTD) were measured. Postoperative radiographs were compared with final follow-up radiographs. The final TTD : ATD ratio was higher (P=0.048) in the pinned group, suggesting relative coxa vara/breva. There was a smaller difference between the two hips in the prophylactically pinned group (0.7) as opposed to those observed (1.47). Prophylactic pinning does not cause growth to stop immediately but alters the proximal femoral morphology.

KW - Adolescent

KW - Bone nails

KW - Child

KW - Female

KW - Femur head

KW - Humans

KW - Male

KW - Pelvic bones

KW - Prophylactic surgical procedures

KW - Slipped capital femoral epiphyses

KW - Treatment outcome

KW - Journal article

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DO - 10.1097/BPB.0000000000000252

M3 - Article

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SN - 1060-152X

VL - 25

SP - 202

EP - 206

JO - Journal of Pediatric Orthopaedics B

JF - Journal of Pediatric Orthopaedics B

IS - 3

ER -

Prophylactic pinning for slipped capital femoral epiphysis: does it affect proximal femoral morphology?

Abstract

Keywords

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