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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 7 Studies of using multiple fine pins 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

Aronson [44]

39

54

2

3

NR

18

27 excellent

13 good

0 fair

13 poor

1 failure

13 patients had pin protruding through the back of the neck

4 acute and 50 chronic

34 mild, 14 moderate and 6 severe

HHC

Blanco [45]

NR

25

1

0

NR

NR

NR

8 metalware problems

1 growing off

4 reoperation

1 preslip, 4 acute, 6 acute on chronic, 12 chronic

11 mild, 9 moderate, 4 severe

7 CRIF

Carney [47]

NR

37

3

1

NR

NR

  

3 acute and 34 chronic

Reduction and pinning resulted in a mean ISH of 75 points, 2 AVN, 1 CL. Pinning in situ resulted in a mean IHS of 85 points, 1 AVN, 0 CL

IHS for chronic slips 86 and 93 for acute slips

Dreghorn [56]

NR

66

0

2

NR

0

NR

1 growing off fixation

51 mild, 14 moderate and 1 severe

Gonzalez-Moran [43]

28

31

0

3

NR

NR

NR

4 wound infection

9 metalware problems

1 acute, 4 acute on chronic and 26 chronic

0 preslip, 15 mild, 12 moderate and 4 severe

Zahrawi [42]

NR

60

0

2

NR

NR

49 excellent

6 good

0 fair

3 poor

2 failure

2 metalware problems

1 further slipping

3 wound infection

2 needed further surgery

Severity (mean slip angle 22)

Chronicity and stability NR

LOS 17

Duration of surgery 90 min

Blood loss 250 ml

HHC

Total

NR

273

6

11

  

76 (67%) excellent

19 (17%) good

0 (0%) fair

16 (14%) poor

3 (3%) failure

 

AVN rate 2.2% (6/273)

CL rate 4% (11/273)

FAI (NR)

OA 15% (18/120)

  1. AVN femoral head osteonecrosis, CL chondrolysis, CRIF closed reduction and internal fixation, NR not reported or suboptimum reporting to provide useful information, HHC Heyman and Herndon classification, IHS Iowa hip-rating system; excellent 90–100 points; good 80–89 points; fair 70–79 points; and poor ‹70points, 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