Volume 20 No 12 (2022)
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Overview of Screw Fixation in Stable and Unstable Slipped Capital Femoral Epiphysis
Aymen Ahmed Bashir Krima, Hosam Mohammed KhairyTawfik,MohmedAbdAlla M. Abdel Salam,YehiaTarekElbromboly
The most frequent hip disease in adolescents is called slipped capital femoral epiphysis (SCFE). It is known as the sliding of the proximal femoral epiphysis through the growing cartilage with respect to the femoral neck. It is posteroinferior to the neck because the epiphysis is still in the acetabulum at this point.The goals of treatment of SCFE are preventing further epiphyseal displacement until physeal closure, avoid complications such as AVN and chondrolysis and maintain adequate hip function.Factors that determine the surgical management of SCFE include the severity, stability of the slip and presence of complications. Some advocate that all mild to moderate cases of SCFE be fixed in situ, with attempts at reduction being limited to unstable severe slips.Screw fixation is currently the most frequently used technique and has shown good results. In general, the percutaneous fixation technique limits the risk of necrosis and chondrolysis, but leaves a persistent deformity at the level of the head neck junction that can be responsible for the intermediate and long term evolution of the femoroacetabular impingement and subsequent arthrosis. The aim of the present study was to review using of screw fixation in stable and unstable slipped capital femoral epiphysis.
Slipped Capital Femoral Epiphysis;Screw Fixation; Unstable SCFE
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