The Journal of Bone and Joint Surgery, Vol 71, Issue 9 1370-1377, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
Treatment of slipped capital femoral epiphysis with a cannulated-screw technique
KJ Koval, WB Lehman, D Rose, RP Koval, A Grant and A Strongwater
Department of Orthopaedics, Hospital for Joint Diseases, New York City, N.Y. 10003.
Sixty patients (eighty hips) who had slipped capital femoral epiphysis were
treated by epiphyseodesis with a cannulated-screw technique. Forty-nine
patients (sixty-seven hips) were available for follow-up, forty-four (sixty
hips) of whom were followed for a minimum of two years. Thirty-five
patients (forty-six hips) were followed until the hardware was removed. Of
seventy-two hips in which contrast medium was injected, arthrographic
results were obtained in three. In these three hips, there was evidence of
pre-existing narrowing of the joint space. Four patients (six hips) who did
not have evidence of penetration by a screw or guide-wire had evidence of
either pre-existing chondrolysis or osteoarthrosis. Chondrolysis did not
develop postoperatively in any patient who had no evidence of it
preoperatively.