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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 4 Studies of hip spica treatment in stable slips

From: Treatment of stable slipped capital femoral epiphysis: systematic review and exploratory patient level analysis

Study

Patients

Hips

AVN

CL

FAI

OA

Patient satisfactiona

Other complications

Notes

Betz [34]

32

37

0

5

NR

NR

NR

 

0 acute, 8 acute on chronic and 29 chronic

25 mild, 7 moderate and 5 severe

All stable slips

Carney [35]

NR

47

8

6

NR

NR

Mean IHS 65 when SCFEs were reduced and 83 when SCFEs were not reduced

 

Spica with closed reduction (16 hips) resulted in a mean IHS of 65 points, 6 AVN and 2 CL

Spica cast without reduction [26] resulted in a mean IHS of 83 points, 2 AVN and 4 CL

Meier [36]

13

17

NR

10

NR

9

NR

3 pressure sores

3 further slipping

 

Total

NR

101

8

21

NR

9

NR

 

AVN rate 9.5% (8/84). CL rate 20.2% (21/101), FAI (NR), OA 53% (9/17)

  1. AVN femoral head osteonecrosis, CL chondrolysis, NR not reported or suboptimum reporting to provide useful information, IHS Iowa hip-rating system; excellent 90–100 points; good 80–89 points; fair 70–79 points; and poor <70 points, FAI femora-acetabular impingement, OA osteoarthritis, SCFEs slipped capital femoral epiphyses
  2. a Satisfactory patients result based on closely related ratings such as Heyman and Herndon classification, Harris hip score or Iowa hip scores