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The Journal of Bone and Joint Surgery, Vol 72, Issue 10 1500-1509, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Hazards of internal fixation in the treatment of slipped capital femoral epiphysis

PM Riley, DS Weiner, R Gillespie and SD Weiner
Hospital for Sick Children, Toronto, Ontario, Canada.

We reviewed the records of 202 patients (308 hips) in whom a slipped capital femoral epiphysis had been fixed with pins or screws. A serious complication that was directly related to the use of internal fixation developed in eighty hips (26 per cent). The rate of complications in the 202 patients was 40 per cent. In thirty-six (18 per cent) of the 202 patients, an additional procedure was done to correct a pin-related complication. Forty-one hip joints had been penetrated by a pin. Other complications included avascular necrosis (fourteen hips), chondrolysis (nine), fracture (one), infection (one), further slippage (one), sciatic-nerve injury (one), and breakage of a screw (eight). Ways of decreasing the incidence of complications of fixation were explored.
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T. RATTEY, F. PIEHL, and J. G. WRIGHT
Acute Slipped Capital Femoral Epiphysis. Review of Outcomes and Rates of Avascular Necrosis*{{dagger}}
J. Bone Joint Surg. Am., March 1, 1996; 78(3): 398 - 402.
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