Epidemiological Perspective on Prophylactic Pinning in Patients with Unilateral Slipped Capital Femoral Epiphysis
| Autor: | James T. Bennett, Kevin Doulens, Frank P. Castro |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Bone disease Population Bone Nails Epiphyses Slipped Osteoarthritis Epidemiology Humans Medicine Orthopedics and Sports Medicine In patient Child education Hip surgery education.field_of_study Hip business.industry Femur Head General Medicine medicine.disease Leg Length Inequality Surgery Epiphysiolysis Pediatrics Perinatology and Child Health Orthopedic surgery business Slipped capital femoral epiphysis |
| Zdroj: | Journal of Pediatric Orthopaedics. :745-748 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/00004694-200011000-00009 |
| Popis: | The purpose of this review was to determine whether the literature supports in situ prophylactic pinning of the hip contralateral to a hip with a slipped capital femoral epiphysis (SCFE). Three hundred twenty-five articles on SCFE between 1931 and 1998 were reviewed. Two hundred six studies were used to establish normative data. Patients with a unilateral SCFE were 2,335 times more likely to develop a SCFE in the contralateral hip when compared to children in the general population experiencing an initial SCFE. Because a majority of these sequential SCFEs were detected and treated early, we concluded that close follow-up and not prophylactic pinning was most supported by the literature. |
| Databáze: | OpenAIRE |
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