ArticleJBJS essential surgical techniques2017
Intraoperative Monitoring of Epiphyseal Perfusion in Slipped Capital Femoral Epiphysis: Surgical Technique.
Article in JBJS essential surgical techniques, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Methods to predict osteonecrosis of femoral head after femoral neck fracture: a systematic review of the literature.Journal of orthopaedic surgery and research · 2023Pooled it
- Intraoperative monitoring of femoral head perfusion in adult femoral neck fractures.OTA international : the open access journal of orthopaedic trauma · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntraoperative monitoring of epiphyseal perfusion in slipped capital femoral epiphysis (SCFE) is a procedurally simple and readily accessible percutaneous technique to accurately guide decision-making and help to prevent osteonecrosis. INDICATIONS & CONTRAINDICATIONS: STEP 1 PATIENT PREPARATION AND POSITIONING: Following anesthesia induction, position the patient and assess the physeal stability fluoroscopically to determine the need for a reduction. STEP 2 GUIDEWIRE PLACEMENT: Place a 3.2-mm threaded guidewire from the anterolateral aspect of the femur to provide initial stability of the slipped epiphysis. STEP 3 INITIAL SCREW INSERTION: Insert a cannulated 7.0-mm stainless steel screw over the guidewire to a point just past the physis. STEP 4 PREPARATION AND INSERTION OF THE ICP PROBE: Once the screw has been inserted to obtain provisional stability of the physis, remove the guidewire and insert a sterile ICP probe down the screw shaft to assess the epiphyseal perfusion. STEP 5 HIP DECOMPRESSION: If a perfusion pressure and waveform cannot be obtained, perform decompression of the hip capsule by either aspiration or capsulotomy. STEP 6 EPIPHYSEAL PERFUSION REASSESSMENT: Following the capsulotomy, reinsert the ICP probe and reassess the epiphyseal perfusion. STEP 7 FINAL SCREW ADVANCEMENT: Once epiphyseal blood flow can be confirmed, reintroduce the guidewire to its previous depth and advance the screw to the final measured depth.
resultsUtilizing this technique over a 5-year period, >35 patients were treated with the described technique, and 23 of them, including 29 hips, were included in our referenced prospective study PITFALLS & CHALLENGES:
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.