Oblique Percutaneous in-situ cannulated screw fixation of stable slipped capital femoral epiphysis- our surgical experience

Dr. M.N.Karthi; Dr. Ashok kumar Ramanathan

Volume : VII, Issue : IV, April - 2018

Oblique Percutaneous in-situ cannulated screw fixation of stable slipped capital femoral epiphysis- our surgical experience

Dr. M. N. Karthi, Dr. Ashok Kumar Ramanathan

Abstract :

Introduction:

The percutaneous in–situ pinning perpendicular to the physis has been described as the standard technique for fixing mild to moderate stable Slipped capital femoral epiphysis. In this study we are going to discuss about our results using an alternative anterolateral oblique pinning technique for SCFE.

Methods:

We treated 10 patients by this technique from June 2015 to May 2017. The average age of the patients was 12 years with the range between 10 to 15 years. Only mild to moderate slips as measured by Southwick angle of less than 60 degrees in frog leg lateral view were included in this study.

Results:

None of the patients developed complications like screw penetration, AVN, chondrolysis, slip progression or eakage of screw. There was restriction of terminal 10 degrees abduction in 6 patients and obligatory external rotation on hip flexion in 3 patients.

Conclusion:

To conclude anterolaterally based insitu oblique screw fixation is a relatively easier technique providing better stability without risk of complications.