During a period of 36 years, 62 patients with 70 slipped capital femoral epiphyses were treated by pinning in situ. Twelve of these patients, 10 years and 8 months to 16 years and 1 month old, were treated for moderate to severe slipping by pinning in situ. After follow ups ranging from 2 to 17 years, all but 2 patients had satisfactory remodeling of the femoral head and neck and were asymptomatic. The 2 with incomplete or no remodeling had no symptoms. It was concluded that the effects of remodeling have been largely ignored and that pinning in situ when possible, followed if necessary by osteoplasty or osteotomy through the lesser trochanter, is a safe and effective treatment.
ASJC Scopus subject areas
- Orthopedics and Sports Medicine