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The Journal of Bone and Joint Surgery, Vol 74, Issue 6 810-819, Copyright © 1992 by Journal of Bone and Joint Surgery, Inc
Slipped capital femoral epiphysis. A prospective study of fixation with a single screw
DD Aronson and WE Carlson
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.
Forty-four children (fifty-eight hips) who had a slipped capital femoral
epiphysis were managed by in situ pinning with a single cannulated screw.
This method of treatment was first used in our institution in 1983.
Thirty-one boys and thirteen girls were followed for an average of three
years (range, two to six years). There were eight acute slips and fifty
chronic slips. Thirty-four patients were black and ten patients were white.
The clinical criteria of Heyman and Herndon and the radiographic parameters
cited by Boyer et al. were used to grade the results. Fifty-four hips were
rated as either excellent or good. Avascular necrosis developed in one
patient who had an acute slipped capital femoral epiphysis, but
chondrolysis did not occur in any patient. The complications included a
subtrochanteric fracture in one patient and an increase in the degree of
slippage of the capital femoral epiphysis in two patients.
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