Advantages of Telescopic Screw in Slipped Capital Femoral Epiphysis Treatment: A Retrospective Study and Review of the Literature
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Kocher, M.S.; Bishop, J.A.; Weed, B.; Hresko, M.T.; Millis, M.B.; Kim, Y.J.; Kasser, J.R. Delay in Diagnosis of Slipped Capital Femoral Epiphysis. Pediatrics 2004, 113, e322–e325. [Google Scholar] [CrossRef] [Green Version]
- Castillo, C.; Mendez, M. Slipped Capital Femoral Epiphysis: A Review for Pediatricians. Pediatr. Ann. 2018, 47, e377–e380. [Google Scholar] [CrossRef]
- Loder, R.T.; Richards, B.S.; Shapiro, P.S.; Reznick, L.R.; Aronson, D.D. Acute Slipped Capital Femoral Epiphysis: The Importance of Physeal Stability. J. Bone Jt. Surg. Am. 1993, 75, 1134–1140. [Google Scholar] [CrossRef]
- Kumm, D.A.; Schmidt, J.; Eisenburger, S.H.; Rütt, J.; Hackenbroch, M.H. Prophylactic Dynamic Screw Fixation of the Asymptomatic Hip in Slipped Capital Femoral Epiphysis. J. Pediatr. Orthop. 1996, 16, 249–253. [Google Scholar] [CrossRef] [PubMed]
- Ziebarth, K.; Domayer, S.; Slongo, T.; Kim, Y.-J.; Ganz, R. Clinical Stability of Slipped Capital Femoral Epiphysis Does Not Correlate with Intraoperative Stability. Clin. Orthop. 2012, 470, 2274–2279. [Google Scholar] [CrossRef] [Green Version]
- Otani, T.; Kawaguchi, Y.; Marumo, K. Diagnosis and Treatment of Slipped Capital Femoral Epiphysis: Recent Trends to Note. J. Orthop. Sci. 2018, 23, 220–228. [Google Scholar] [CrossRef]
- Davis, R.L.; Samora, W.P.; Persinger, F.; Klingele, K.E. Treatment of Unstable Versus Stable Slipped Capital Femoral Epiphysis Using the Modified Dunn Procedure. J. Pediatr. Orthop. 2019, 39, 411–415. [Google Scholar] [CrossRef] [PubMed]
- Otani, T.; Futami, T.; Kita, A.; Kitano, T.; Saisu, T.; Satsuma, S.; Kawaguchi, Y. Treatment for Unstable Slipped Capital Femoral Epiphysis: Current Status and Future Challenge in Japan. J. Orthop. Sci. 2016, 21, 847–851. [Google Scholar] [CrossRef] [PubMed]
- Chen, C.-E.; Ko, J.-Y.; Wang, C.-J. Premature Closure of the Physeal Plate after Treatment of a Slipped Capital Femoral Epiphysis. Chang. Gung Med. J. 2002, 25, 8. [Google Scholar]
- Ogden, J.A.; Southwick, W.O. Endocrine Dysfunction and Slipped Capital Femoral Epiphysis. Yale J. Biol. Med. 1977, 50, 1–16. [Google Scholar]
- Segal, L.S.; Davidson, R.S.; Robertson, W.W.; Drummond, D.S. Growth Disturbances of the Proximal Femur after Pinning of Juvenile Slipped Capital Femoral Epiphysis. J. Pediatr. Orthop. 1991, 11, 631–637. [Google Scholar] [CrossRef]
- Lederer, C.; Hosalkar, H.S.; Tiderius, C.J.; Westhoff, B.; Bittersohl, B.; Krauspe, R. Fixationstechniken Bei Der Epiphyseolysis Capitis Femoris: Prinzipien, Operative Techniken Und Komplikationen. Orthopade 2019, 48, 659–667. [Google Scholar] [CrossRef]
- Parsch, K.; Weller, S.; Parsch, D. Open Reduction and Smooth Kirschner Wire Fixation for Unstable Slipped Capital Femoral Epiphysis. J. Pediatr. Orthop. 2009, 29, 1–8. [Google Scholar] [CrossRef]
- Surgical Technique-Pega Medical. Available online: https://www.pegamedical.com/medias/iw/FG-ST-EN-RevF_1.pdf (accessed on 2 February 2022).
- Green, D.W.; Mogekwu, N.; Scher, D.M.; Handler, S.; Chalmers, P.; Widmann, R.F. A Modification of Klein’s Line to Improve Sensitivity of the Anterior-Posterior Radiograph in Slipped Capital Femoral Epiphysis. J. Pediatr. Orthop. 2009, 29, 449–453. [Google Scholar] [CrossRef] [PubMed]
- Southwick, W.O. Osteotomy through the Lesser Trochanter for Slipped Capital Femoral Epiphysis. J. Bone Jt. Surg. Am. 1967, 49, 807–835. [Google Scholar] [CrossRef]
- Akiyama, M.; Nakashima, Y.; Kitano, T.; Nakamura, T.; Takamura, K.; Kohno, Y.; Yamamoto, T.; Motomura, G.; Ohishi, M.; Hamai, S.; et al. Remodelling of Femoral Head–Neck Junction in Slipped Capital Femoral Epiphysis: A Multicentre Study. Int. Orthop. 2013, 37, 2331–2336. [Google Scholar] [CrossRef] [Green Version]
- Nötzli, H.P.; Wyss, T.F.; Stoecklin, C.H.; Schmid, M.R.; Treiber, K.; Hodler, J. The Contour of the Femoral Head-Neck Junction as a Predictor for the Risk of Anterior Impingement. J. Bone Jt. Surg. Br. 2002, 84, 556–560. [Google Scholar] [CrossRef]
- Uglow, M.G.; Clarke, N.M.P. The Management of Slipped Capital Femoral Epiphysis. J. Bone Jt. Surg. Br. 2004, 86, 631–635. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kumm, D.A.; Lee, S.H.; Hackenbroch, M.H.; Rütt, J. Slipped Capital Femoral Epiphysis: A Prospective Study of Dynamic Screw Fixation. Clin. Orthop. 2001, 384, 198–207. [Google Scholar] [CrossRef]
- Thomas, G.E.; Palmer, A.J.; Andrade, A.J.; Pollard, T.C.; Fary, C.; Singh, P.J.; O’Donnell, J.; Glyn-Jones, S. Diagnosis and Management of Femoroacetabular Impingement. Br. J. Gen. Pract. 2013, 63, e513–e515. [Google Scholar] [CrossRef] [Green Version]
- Örtegren, J.; Björklund-Sand, L.; Engbom, M.; Siversson, C.; Tiderius, C.J. Unthreaded Fixation of Slipped Capital Femoral Epiphysis Leads to Continued Growth of the Femoral Neck. J. Pediatr. Orthop. 2016, 36, 494–498. [Google Scholar] [CrossRef]
- Samelis, P.V.; Papagrigorakis, E.; Konstantinou, A.-L.; Lalos, H.; Koulouvaris, P. Factors Affecting Outcomes of Slipped Capital Femoral Epiphysis. Cureus 2020, 12, e6883. [Google Scholar] [CrossRef] [Green Version]
- Morash, K.; Orlik, B.; El-Hawary, R.; Gauthier, L.; Logan, K. Femoral Neck Growth and Remodeling with Free-Gliding Screw Fixation of Slipped Capital Femoral Epiphysis. J. Pediatr. Orthop. 2021, 41, e309–e315. [Google Scholar] [CrossRef] [PubMed]
- Örtegren, J.; Björklund-Sand, L.; Engbom, M.; Tiderius, C.J. Continued Growth of the Femoral Neck Leads to Improved Remodeling after In Situ Fixation of Slipped Capital Femoral Epiphysis. J. Pediatr. Orthop. 2018, 38, 170–175. [Google Scholar] [CrossRef]
- Nahhas, R.W.; Sherwood, R.J.; Chumlea, W.C.; Towne, B.; Duren, D.L. Predicting the Timing of Maturational Spurts in Skeletal Age. Am. J. Phys. Anthropol. 2013, 150, 68–75. [Google Scholar] [CrossRef] [Green Version]
- Cole, T.J.; Rousham, E.K.; Hawley, N.L.; Cameron, N.; Norris, S.A.; Pettifor, J.M. Ethnic and Sex Differences in Skeletal Maturation among the Birth to Twenty Cohort in South Africa. Arch. Dis. Child. 2015, 100, 138–143. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Krahn, T.H.; Canale, S.T.; Beaty, J.H.; Warner, W.C.; Lourenco, P. Long-term follow-up of patients with avascular necrosis after treatment of slipped capital femoral epiphysis. J. Pediatr. Orthop. 1993, 13, 154–158. [Google Scholar] [PubMed]
- Kulkarni, V.A.; Boyles, A.D.; Carl, J.; Boakes, J.L.; Wilson, B.; Bagley, A.M.; Muchow, R.D. Proximal Femoral Deformity Following Threaded Prophylactic Fixation for Slipped Capital Femoral Epiphysis: Risk Stratification Using the Modified Oxford Score. J. Pediatr. Orthop. 2020, 40, e592–e597. [Google Scholar] [CrossRef] [PubMed]
- Hansen, C.H.; Bomar, J.D.; Badrinath, R.; Upasani, V.V. Telescoping Screw Fixation Compared to Traditional in Situ Screw Fixation for Slipped Capital Femoral Epiphysis: Clinical, Radiographic and Patient-Reported Outcomes. J. Pediatr. Orthop. Part B 2021. [Google Scholar] [CrossRef]
- Schumann, E.; Zajonz, D.; Wojan, M.; Kübler, F.B.; Brandmaier, P.; Josten, C.; Heyde, C.-E.; Bühligen, U. Behandlung der chronischen Epiphyseolysis capitis femoris: Einsatz der dynamischen epiphysären Teleskopschraube. Der Orthop. 2016, 45, 597–606. [Google Scholar] [CrossRef]
- Bertram, C.; Kumm, D.A.; Michael, J.W.-P.; Rütt, J.; Hackenbroch, M.H.; Eysel, P. Stabilization of the Femoral Head with a Gliding Screw in Slipped Capital Femoral Epiphysis. Oper. Orthop. Traumatol. 2007, 19, 358–367. [Google Scholar] [CrossRef] [PubMed]
- Ulici, A.; Carp, M.; Tevanov, I.; Nahoi, C.A.; Sterian, A.G.; Cosma, D. Outcome of Pinning in Patients with Slipped Capital Femoral Epiphysis: Risk Factors Associated with Avascular Necrosis, Chondrolysis, and Femoral Impingement. J. Int. Med. Res. 2018, 46, 2120–2127. [Google Scholar] [CrossRef] [Green Version]
Case No | Gender | Age (Years) | Side | Type | BMI Pre-Op | BMI Follow-Up | Displacement Type | Skeletally Mature | Follow-Up (Months) | ROM Follow-Up |
---|---|---|---|---|---|---|---|---|---|---|
1 | F | 11 | L | Ch | 28 | 26 | moderate | No | 20 | F:100; IR:30; ER:40; ADD:40; ABD:35 |
2 | M | 11 | R | Ac | 29 | 27 | mild | No | 23 | F:105; IR:40; ER:50; ADD:50; ABD:40 |
3 | F | 9 | L | Ac | 27 | 27 | mild | Yes | 76 | F:110; IR:40; ER:45; ADD:50; ABD:45 |
10 | R | Ac | 27 | 27 | mild | Yes | 64 | F: 105; IR:40; ER:45; ADD:45; ABD:45 | ||
4 | F | 8 | R | Ac | 26 | 23 | mild | No | 56 | F:110; IR:45; ER:50; ADD:55; ABD:45 |
9 | L | Ac | 27 | 23 | mild | No | 49 | F:110; IR:45; ER:50; ADD:55; ABD:45 | ||
5 | M | 10 | L | Ac | 28 | 26 | mild | No | 40 | F:105; IR:40; ER:45; ADD:45; ABD:40 |
10 | R | Ac | 28 | 26 | mild | No | 40 | F:105; IR:40; ER:45; ADD:45; ABD:40 | ||
6 | F | 10 | R | Ch | 27 | 25 | mild | Yes | 79 | F:100; IR:40; ER:40; ADD:45; ABD:40 |
7 | M | 11 | R | Ac | 26 | 27 | mild | Yes | 73 | F:105; IR:40; ER:45; ADD:45; ABD:40 |
11 | L | Ac | 26 | 27 | mild | Yes | 73 | F:110; IR:40; ER:45; ADD:50; ABD:45 | ||
8 | M | 9 | L | Ch | 26 | 26 | moderate | No | 31 | F:95; IR:35; ER:45; ADD:40; ABD:35 |
9 | M | 10 | L | Ac | 27 | 24 | mild | No | 30 | F:105; IR:40; ER:45; ADD:45; ABD:40 |
10 | R | Ac | 27 | 24 | mild | No | 30 | F:105; IR:40; ER:45; ADD:40; ABD:40 | ||
10 | M | 7 | R | Ac | 25 | 24 | mild | No | 57 | F:110; IR:45; ER:50; ADD:55; ABD:45 |
11 | M | 10 | R | Ch | 26 | 26 | mild | No | 24 | F:100; IR:30; ER:40; ADD:40; ABD:35 |
12 | M | 11 | R | Ac | 25 | 27 | mild | Yes | 60 | F:115; IR:45; ER:50; ADD:55; ABD:45 |
13 | F | 7 | R | Ac | 24 | 23 | mild | No | 43 | F:115; IR:45; ER:45; ADD:45; ABD:40 |
7 | L | Ac | 24 | 23 | mild | No | 43 | F:110; IR:40; ER:45; ADD:45; ABD:40 | ||
14 | M | 9 | L | Ac | 25 | 26 | mild | No | 51 | F:110; IR:45; ER:50; ADD:55; ABD:45 |
15 | F | 9 | L | Ac | 24 | 25 | mild | Yes | 81 | F:110; IR:40; ER:45; ADD:50; ABD:45 |
16 | M | 10 | R | Ac | 25 | 24 | mild | No | 25 | F:105; IR:40; ER:50; ADD:50; ABD:40 |
Case No | Southwick Angle Pre-Op | Southwick Angle Post-Op | Southwick Angle Follow-Up | Screw Length (mm) | Thread (No) | Lenghtening (mm) Intermediary | Lenghtening (mm) Follow-Up | Diff Fem Neck (mm) Intermediary | Diff Fem Neck (mm) Follow-Up | A V N | Telescoped | Failure of the Screw |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 38 | 38 | 38 | 80 | 3 | 0 | 0 | 10 | 11 | No | No | Yes |
2 | 20 | 14 | 14 | 100 | 5 | 9 | 10 | 1 | 1 | No | Yes | No |
3 | 17 | 12 | 10 | 80 | 5 | 12 | 17 | 0 | 0 | No | Yes | No |
19 | 13 | 10 | 84 | 5 | 11 | 15 | 0 | 0 | No | Yes | No | |
4 | 28 | 22 | 20 | 98 | 4 | 14 | 17 | 1 | 0 | No | Yes | No |
26 | 18 | 16 | 100 | 4 | 12 | 14 | 0 | 0 | No | Yes | No | |
5 | 15 | 10 | 10 | 78 | 4 | 12 | 16 | 3 | 0 | No | Yes | No |
15 | 10 | 10 | 76 | 5 | 13 | 16 | 0 | 0 | No | Yes | No | |
6 | 18 | 18 | 14 | 72 | 5 | 12 | 21 | 1 | 1 | No | Yes | No |
7 | 15 | 10 | 8 | 80 | 5 | 9 | 20 | 3 | 0 | No | Yes | No |
20 | 14 | 10 | 82 | 4 | 12 | 18 | 0 | 0 | No | Yes | No | |
8 | 32 | 32 | 32 | 68 | 4 | 15 | 16 | 0 | 0 | No | Yes | No |
9 | 26 | 20 | 20 | 50 | 5 | 12 | 14 | 2 | 2 | No | Yes | No |
20 | 16 | 16 | 72 | 5 | 14 | 16 | 0 | 0 | No | Yes | No | |
10 | 16 | 10 | 10 | 74 | 3 | 15 | 20 | 9 | 5 | No | Yes | No |
11 | 17 | 17 | 17 | 80 | 4 | 12 | 14 | 0 | 0 | No | Yes | No |
12 | 18 | 14 | 16 | 70 | 5 | 0 | 0 | 10 | 15 | No | No | Yes |
13 | 16 | 12 | 10 | 68 | 3 | 4 | 8 | 7 | 0 | No | Yes | No |
15 | 12 | 10 | 70 | 4 | 14 | 16 | 0 | 0 | No | Yes | No | |
14 | 20 | 14 | 12 | 72 | 5 | 12 | 18 | 2 | 0 | No | Yes | No |
15 | 16 | 10 | 10 | 68 | 4 | 14 | 22 | 0 | 0 | No | Yes | No |
16 | 18 | 14 | 14 | 70 | 5 | 14 | 14 | 0 | 0 | No | Yes | No |
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Ulici, A.; Ionescu, A.; Dogaru, D.; Hotoboc, O.; Nahoi, C.; Zamfir, C.; Carp, M. Advantages of Telescopic Screw in Slipped Capital Femoral Epiphysis Treatment: A Retrospective Study and Review of the Literature. Children 2022, 9, 469. https://doi.org/10.3390/children9040469
Ulici A, Ionescu A, Dogaru D, Hotoboc O, Nahoi C, Zamfir C, Carp M. Advantages of Telescopic Screw in Slipped Capital Femoral Epiphysis Treatment: A Retrospective Study and Review of the Literature. Children. 2022; 9(4):469. https://doi.org/10.3390/children9040469
Chicago/Turabian StyleUlici, Alexandru, Adelina Ionescu, Diana Dogaru, Olivia Hotoboc, Catalin Nahoi, Cristian Zamfir, and Madalina Carp. 2022. "Advantages of Telescopic Screw in Slipped Capital Femoral Epiphysis Treatment: A Retrospective Study and Review of the Literature" Children 9, no. 4: 469. https://doi.org/10.3390/children9040469