In situ pinning of hip for stable slipped capital femoral epiphysis on a radiolucent operating table
Lee, F.Y.-I.; Chapman, C.B.
Journal of Pediatric Orthopedics 23(1): 27-29
2003
ISSN/ISBN: 0271-6798 PMID: 12499938 Document Number: 562703
Patients with stable slipped capital femoral epiphysis (SCFE) usually can ambulate at the time of diagnosis. Satisfactory results have been reported after percutaneous in situ pinning using a fracture table. The authors describe a technique to determine the skin-pin entry point for percutaneous pinning of the hip on a regular radiolucent operating table. The pin entry point determined by this modified method was reliable in 15 SCFEs in 13 patients. Pinning on a regular radiolucent table was much easier, without the need to transfer obese patients to a fracture table. It was also useful when a bilateral pinning procedure was performed using single draping. Obtaining modified frog-leg lateral radiographs in patients with a stable SCFE was not associated with avascular necrosis or chondrolysis.