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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 5 Studies of using bone peg epiphysiodesis 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

Adamczyk [38]

225

278

4

0

NR

NR

NR

17 further slipping

4 deep infection

12 re-operation

45 acute, 0 acute on chronic and 278 chronic

Outcomes of acute slips were excluded

The average length of surgery was 90 min and blood loss was 200 ml. No blood transfusion

Iliac crest bone autograft was used

Murray [39]

31

42

4

0

NR

NR

NR

2 re-operation

2 wound healing problems

3 unstable slips were excluded

Average operative time was 87 min and blood loss was 148 ml. No blood transfusion

Fibular allograft with demineralised bone matrix was used

Rao [37]

43

46

3

2

NR

NR

NR

3 infections

7 cases of transient anterolateral thigh hypesthesia

44 heterotopic ossification

18 unstable (excluded) and 46 stable slips

The average operating time and blood loss per hip were 122 ± 34 min and 426 ± 238 ml, respectively

Schmidt [40]

33

40

1

1

NR

NR

35 excellent

1 good

2 fair

2 poor

1 femoral neck fracture

1 sub-trochanteric hip fracture

2 coxa vara

31 mild, 9 moderate, 0 severe

6 unstable and 34 were stable

The average time 1 h 57 min and blood loss averaged 360 ml

Allograft used

Szypryt [41]

25

30

2

3

NR

7

12 excellent

5 good

8 fair

4 poor

3 wound infection

1 acute, 13 acute-on-chronic, 16 chronic

0 mild, 12 moderate, 18 severe

Zahrawi [42]

 

28

0

0

NR

NR

20 excellent

0 good

0 fair

1 poor

7 failure

4 wound infection

2 graft failure

1 further slipping

6 needed further surgery

Severity (mean slip angle 30)

LOS 21

Duration of surgery 150 min

Blood loss 500 ml

Total

NR

464

14

6

NR

NR

67 (68%) excellent

6 (6%) good

10 (10%) fair

7 (7%) poor

7 (7%) failure

16 wound infection

20 further slipping

22 re-operation

AVN rate 3% (14/464). CL rate 1.3% (6/464). FAI (NR), OA 23.3% (7/30)

  1. AVN femoral head osteonecrosis, CL chondrolysis, CRIF closed reduction and internal fixation, NR not reported or suboptimum reporting to provide useful information, LOS length of stay, FAI femora-acetabular impingement, OA osteoarthritis
  2. a Satisfactory patients result based on closely related ratings such as Heyman and Herndon classification, Harris hip score or Iowa hip scores