Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis
Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilater...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Megaloikonomos, Panayiotis D. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Anmerkung: |
© SICOT aisbl 2018 |
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| Übergeordnetes Werk: |
Enthalten in: International orthopaedics - Berlin : Springer, 1977, 43(2018), 7 vom: 23. Juli, Seite 1627-1634 |
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| Übergeordnetes Werk: |
volume:43 ; year:2018 ; number:7 ; day:23 ; month:07 ; pages:1627-1634 |
| Links: |
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| DOI / URN: |
10.1007/s00264-018-4058-9 |
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| Katalog-ID: |
SPR003291480 |
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| 100 | 1 | |a Megaloikonomos, Panayiotis D. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
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| 520 | |a Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. | ||
| 650 | 4 | |a Slipped capital femoral epiphysis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a In situ fixation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Smooth pins |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Cannulated screw |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Cam deformity |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Femoroacetabular impingement |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Mavrogenis, Andreas F. |0 (orcid)0000-0003-0807-0719 |4 aut | |
| 700 | 1 | |a Panagopoulos, Georgios N. |4 aut | |
| 700 | 1 | |a Igoumenou, Vasilios G. |4 aut | |
| 700 | 1 | |a Giakas, Giannis |4 aut | |
| 700 | 1 | |a Zampakides, Christos |4 aut | |
| 700 | 1 | |a Pasparakis, Dimitrios |4 aut | |
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10.1007/s00264-018-4058-9 doi (DE-627)SPR003291480 (SPR)s00264-018-4058-9-e DE-627 ger DE-627 rakwb eng Megaloikonomos, Panayiotis D. verfasserin aut Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2018 Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. Slipped capital femoral epiphysis (dpeaa)DE-He213 In situ fixation (dpeaa)DE-He213 Smooth pins (dpeaa)DE-He213 Cannulated screw (dpeaa)DE-He213 Cam deformity (dpeaa)DE-He213 Femoroacetabular impingement (dpeaa)DE-He213 Mavrogenis, Andreas F. (orcid)0000-0003-0807-0719 aut Panagopoulos, Georgios N. aut Igoumenou, Vasilios G. aut Giakas, Giannis aut Zampakides, Christos aut Pasparakis, Dimitrios aut Enthalten in International orthopaedics Berlin : Springer, 1977 43(2018), 7 vom: 23. Juli, Seite 1627-1634 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 https://dx.doi.org/10.1007/s00264-018-4058-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2018 7 23 07 1627-1634 |
| spelling |
10.1007/s00264-018-4058-9 doi (DE-627)SPR003291480 (SPR)s00264-018-4058-9-e DE-627 ger DE-627 rakwb eng Megaloikonomos, Panayiotis D. verfasserin aut Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2018 Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. Slipped capital femoral epiphysis (dpeaa)DE-He213 In situ fixation (dpeaa)DE-He213 Smooth pins (dpeaa)DE-He213 Cannulated screw (dpeaa)DE-He213 Cam deformity (dpeaa)DE-He213 Femoroacetabular impingement (dpeaa)DE-He213 Mavrogenis, Andreas F. (orcid)0000-0003-0807-0719 aut Panagopoulos, Georgios N. aut Igoumenou, Vasilios G. aut Giakas, Giannis aut Zampakides, Christos aut Pasparakis, Dimitrios aut Enthalten in International orthopaedics Berlin : Springer, 1977 43(2018), 7 vom: 23. Juli, Seite 1627-1634 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 https://dx.doi.org/10.1007/s00264-018-4058-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2018 7 23 07 1627-1634 |
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10.1007/s00264-018-4058-9 doi (DE-627)SPR003291480 (SPR)s00264-018-4058-9-e DE-627 ger DE-627 rakwb eng Megaloikonomos, Panayiotis D. verfasserin aut Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2018 Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. Slipped capital femoral epiphysis (dpeaa)DE-He213 In situ fixation (dpeaa)DE-He213 Smooth pins (dpeaa)DE-He213 Cannulated screw (dpeaa)DE-He213 Cam deformity (dpeaa)DE-He213 Femoroacetabular impingement (dpeaa)DE-He213 Mavrogenis, Andreas F. (orcid)0000-0003-0807-0719 aut Panagopoulos, Georgios N. aut Igoumenou, Vasilios G. aut Giakas, Giannis aut Zampakides, Christos aut Pasparakis, Dimitrios aut Enthalten in International orthopaedics Berlin : Springer, 1977 43(2018), 7 vom: 23. Juli, Seite 1627-1634 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 https://dx.doi.org/10.1007/s00264-018-4058-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2018 7 23 07 1627-1634 |
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10.1007/s00264-018-4058-9 doi (DE-627)SPR003291480 (SPR)s00264-018-4058-9-e DE-627 ger DE-627 rakwb eng Megaloikonomos, Panayiotis D. verfasserin aut Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2018 Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. Slipped capital femoral epiphysis (dpeaa)DE-He213 In situ fixation (dpeaa)DE-He213 Smooth pins (dpeaa)DE-He213 Cannulated screw (dpeaa)DE-He213 Cam deformity (dpeaa)DE-He213 Femoroacetabular impingement (dpeaa)DE-He213 Mavrogenis, Andreas F. (orcid)0000-0003-0807-0719 aut Panagopoulos, Georgios N. aut Igoumenou, Vasilios G. aut Giakas, Giannis aut Zampakides, Christos aut Pasparakis, Dimitrios aut Enthalten in International orthopaedics Berlin : Springer, 1977 43(2018), 7 vom: 23. Juli, Seite 1627-1634 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 https://dx.doi.org/10.1007/s00264-018-4058-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2018 7 23 07 1627-1634 |
| allfieldsSound |
10.1007/s00264-018-4058-9 doi (DE-627)SPR003291480 (SPR)s00264-018-4058-9-e DE-627 ger DE-627 rakwb eng Megaloikonomos, Panayiotis D. verfasserin aut Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2018 Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. Slipped capital femoral epiphysis (dpeaa)DE-He213 In situ fixation (dpeaa)DE-He213 Smooth pins (dpeaa)DE-He213 Cannulated screw (dpeaa)DE-He213 Cam deformity (dpeaa)DE-He213 Femoroacetabular impingement (dpeaa)DE-He213 Mavrogenis, Andreas F. (orcid)0000-0003-0807-0719 aut Panagopoulos, Georgios N. aut Igoumenou, Vasilios G. aut Giakas, Giannis aut Zampakides, Christos aut Pasparakis, Dimitrios aut Enthalten in International orthopaedics Berlin : Springer, 1977 43(2018), 7 vom: 23. Juli, Seite 1627-1634 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 https://dx.doi.org/10.1007/s00264-018-4058-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2018 7 23 07 1627-1634 |
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English |
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Enthalten in International orthopaedics 43(2018), 7 vom: 23. Juli, Seite 1627-1634 volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 |
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Enthalten in International orthopaedics 43(2018), 7 vom: 23. Juli, Seite 1627-1634 volume:43 year:2018 number:7 day:23 month:07 pages:1627-1634 |
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Slipped capital femoral epiphysis In situ fixation Smooth pins Cannulated screw Cam deformity Femoroacetabular impingement |
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International orthopaedics |
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Megaloikonomos, Panayiotis D. @@aut@@ Mavrogenis, Andreas F. @@aut@@ Panagopoulos, Georgios N. @@aut@@ Igoumenou, Vasilios G. @@aut@@ Giakas, Giannis @@aut@@ Zampakides, Christos @@aut@@ Pasparakis, Dimitrios @@aut@@ |
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2018-07-23T00:00:00Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR003291480</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519191406.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201001s2018 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00264-018-4058-9</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR003291480</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00264-018-4058-9-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Megaloikonomos, Panayiotis D.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© SICOT aisbl 2018</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. 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Megaloikonomos, Panayiotis D. |
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Megaloikonomos, Panayiotis D. misc Slipped capital femoral epiphysis misc In situ fixation misc Smooth pins misc Cannulated screw misc Cam deformity misc Femoroacetabular impingement Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
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Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis Slipped capital femoral epiphysis (dpeaa)DE-He213 In situ fixation (dpeaa)DE-He213 Smooth pins (dpeaa)DE-He213 Cannulated screw (dpeaa)DE-He213 Cam deformity (dpeaa)DE-He213 Femoroacetabular impingement (dpeaa)DE-He213 |
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misc Slipped capital femoral epiphysis misc In situ fixation misc Smooth pins misc Cannulated screw misc Cam deformity misc Femoroacetabular impingement |
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misc Slipped capital femoral epiphysis misc In situ fixation misc Smooth pins misc Cannulated screw misc Cam deformity misc Femoroacetabular impingement |
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misc Slipped capital femoral epiphysis misc In situ fixation misc Smooth pins misc Cannulated screw misc Cam deformity misc Femoroacetabular impingement |
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Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
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Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
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Megaloikonomos, Panayiotis D. Mavrogenis, Andreas F. Panagopoulos, Georgios N. Igoumenou, Vasilios G. Giakas, Giannis Zampakides, Christos Pasparakis, Dimitrios |
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Elektronische Aufsätze |
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Megaloikonomos, Panayiotis D. |
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10.1007/s00264-018-4058-9 |
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similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
| title_auth |
Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
| abstract |
Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. © SICOT aisbl 2018 |
| abstractGer |
Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. © SICOT aisbl 2018 |
| abstract_unstemmed |
Purpose To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. Methods We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5–14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure. Longitudinal growth was evaluated using the femoral neck length (FNL), the caput–collum–diaphyseal (CCD) angle, and the articulo-trochanteric distance (ATD). Cam deformity was assessed using the anterior offset α-angle and the head–neck offset ratio (HNOR). The mean follow-up was 5.1 years (range, 4–7 years). Results Postoperatively, the mean CCD angle was 138.3°, the mean α-angle was 66.1° and the mean HNOR was − 0.030. At physeal closure, mean CCD angle significantly decreased to 133.6°, mean α-angle significantly reduced to 52.1°, and mean HNOR significantly improved to + 0.039. CCD, FNL, ATD, α-angle, and HNOR were not different between groups. Conclusions One screw or two smooth pins result in similar longitudinal growth and deformity of the proximal femur after SCFE. The femoral head–neck junction remarkably improves until physeal closure; however, residual cam deformity is not avoided after in situ pinning. The complication rate with smooth pins is higher. © SICOT aisbl 2018 |
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Similar femoral growth and deformity with one screw versus two smooth pins for slipped capital femoral epiphysis |
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Mavrogenis, Andreas F. Panagopoulos, Georgios N. Igoumenou, Vasilios G. Giakas, Giannis Zampakides, Christos Pasparakis, Dimitrios |
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| score |
7.401143 |