ArticleHawai'i journal of health & social welfare2019
Management of Slipped Capital Femoral Epiphysis: The Hawai'i Experience.
Article in Hawai'i journal of health & social welfare, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- [Complications after dynamic in-situ fixation of the femoral head in patients with slipped capital femoral epiphysis].Orthopadie (Heidelberg, Germany) · 2026Article
- Analysis of risk factors for difficult implant removal in children with slipped capital femoral epiphysis treated by cannulated screws.Frontiers in pediatrics · 2024Article
- Comparing pinningJournal of hip preservation surgeryReview
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Slipped capital femoral epiphysis (SCFE) is a growing problem amongst children in Hawai'i as well as throughout the world. With increasing rates of childhood obesity, SCFEs are affecting more patients at younger ages. This makes the treatment of SCFEs critical as many children with SCFEs have significant growth remaining. There are a host of treatment options based on different classification schemes which can make it difficult to determine the appropriate care for a SCFE patient. In our practice, patients are treated based on a combination of angular displacement, stability as defined by Loder, and patient age. The procedures vary from single screw in-situ fixation for a mild deformity to a modified Dunn procedure for a high-grade deformity in the skeletally immature patient. For all our open fixation methods, epiphyseal perfusion is monitored with an 18-gauge needle attached to an arterial monitor and we routinely remove fixation after physeal closure. Excellent outcomes have been noted for the modified Dunn in our practice. This article describes the algorithm used to treat SCFE in Hawai'i at a tertiary children's medical center.
Indexed as
Identifiers
31773107PMC6874696What OpenQuestion holds
Registered trials
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