Comparison of Radiolucent and Fracture Tables in the Treatment of Slipped Capital Femoral Epiphysis

Blasier, R. Dale; Ramsey, J. Randal; White, Rosalind R.

doi:10.1097/01241398-200411000-00009

Cited by 18 publications

(6 citation statements)

References 10 publications

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“…2,3 Caution must be exercised with unstable SUFE to avoid excessive displacement leading to avascular necrosis. This technique is a useful alternative to in situ pinning on a traction table.…”

Section: Discussionmentioning

confidence: 99%

Freehand technique for in situ pinning of slipped upper femoral epiphysis

Pearce

Spence

2012

annals

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Section: Discussionmentioning

confidence: 99%

Freehand technique for in situ pinning of slipped upper femoral epiphysis

Pearce

Spence

2012

annals

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“…In a previous study, Blasier et al [11] evaluated stable slips over a 10-year period treated by single screw fixation on either a radiolucent (29 hips) or fracture table (36 hips). They found that the surgical time was significantly longer on the fracture table (38.55 min) compared to the radiolucent table (24.8 min, P < 0.05).…”

Section: Introductionmentioning

confidence: 99%

“…Interestingly, the complication rate associated with either procedure or the need for further surgery was not reported. Other reported advantages of the radiolucent table include minimal maneuvering of the image intensifier and free movement of the limb under image intensification to evaluate pin placement [11]. Potential disadvantages of the radiolucent table for the treatment of SCFE include the need for an assistant to hold and manipulate the limb, the need to reposition the limb to obtain a lateral view, which may risk further motion through the physis, and the possibility of occasionally bending the guide pin during limb repositioning [11].…”

Section: Introductionmentioning

confidence: 99%

“…With the fracture table, the hip position may not have to be moved intra-operatively to visualize the anteroposterior (AP) and lateral radiographic views, thereby, likely reducing the risk of further displacement of the slipped physis. Notable disadvantages of using a fracture table include; longer set up time, repetitive maneuvering of the image intensifier for biplane imaging, and relative difficulty in obtaining clear lateral images in obese patients [11]. In cases of bilateral SCFE, while using the fracture table technique, it is necessary to change the table positioning and drape the surgical field a second time, leading to further delay in operative time.…”

Section: Introductionmentioning

confidence: 99%

“…In cases of bilateral SCFE, while using the fracture table technique, it is necessary to change the table positioning and drape the surgical field a second time, leading to further delay in operative time. In case of adolescents with higher body mass index (BMI) (Z30), transfer from a stretcher to the fracture table can be difficult and, in rare circumstances, the fracture table may not accommodate the size of the patient [11]. It is also possible that the weight of the suspended leg in some instances may further displace the neck and metaphysis in relation to the capital physis.…”

Section: Introductionmentioning

confidence: 99%

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In situ screw fixation of slipped capital femoral epiphysis with a novel approach: A double-cohort controlled study

Pring

Adamczyk

Hosalkar

et al. 2010

Journal of Children's Orthopaedics

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PurposeIn situ fixation for mild to moderate slipped capital femoral epiphysis (SCFE) remains an acceptable treatment methodology in most centers. Satisfactory fixation results have been reported with the procedure using either the fracture table or radiolucent table, both of which allow the hip to be imaged during the procedure. The position of the pin within the center of the femoral head is important to secure adequate fixation of the capital femoral epiphysis and prevent further slippage with minimal risk for articular penetration and avascular necrosis (AVN) or chondrolysis.MethodsWe describe a pre-operative planning technique to determine the pin-entry point for percutaneous pinning of SCFE on a radiolucent operating table. A retrospective review of patients who underwent in situ screw fixation with the usage of a cannulated screw on a radiolucent table or fracture table over a 6-year period was conducted.ResultsThe pin-entry point with this technique was reliable in 92% of procedures and comparable in both accuracy and complications to in situ screw fixation on a fracture table. In situ screw fixation on a regular radiolucent table was straightforward and required significantly less surgical time than on the fracture table (P = 0.01). It was also more efficient during a bilateral procedure, as it required only a single preparation and draping of the patient.ConclusionThis pre-operative planning technique for deciding the starting point on the proximal femur is helpful in executing an accurate in situ screw fixation of hips with SCFE.

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Epiphyseolysis capitis femoris (ECF)

Hellmich

Krieg

2023

Orthopädie Und Unfallchirurgie

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Comparison of Radiolucent and Fracture Tables in the Treatment of Slipped Capital Femoral Epiphysis

Cited by 18 publications

References 10 publications

Freehand technique for in situ pinning of slipped upper femoral epiphysis

Freehand technique for in situ pinning of slipped upper femoral epiphysis

In situ screw fixation of slipped capital femoral epiphysis with a novel approach: A double-cohort controlled study

Epiphyseolysis capitis femoris (ECF)

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