Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Open reduction and pinning with multiple cannulated screws in an inverted triangle configuration
4%
66/1527
Closed reduction and pinning with multiple cannulated screws in an inverted triangle configuration
67/1527
Closed reduction and pinning with a single cannulated screw
7%
110/1527
In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration
9%
138/1527
In situ percutaneous pinning with a single cannulated screw
74%
1132/1527
Select Answer to see Preferred Response
As described in the review article by Loder, an unstable SCFE is one where the child cannot walk, with or without crutches. Reduction attempts of unstable SCFE have been associated with a higher rate of osteonecrosis after pinning. Osteonecrosis is also more likely to develop in patients treated with multiple pins than in those treated with a single cannulated screw. However, in unstable SCFE's surgeons often elect to utilize two screws for stabilization. Inverted triangle screw placement is utilized for adults with femoral neck fractures. Tomkmakova concluded that: "Pinning in situ without reduction with a single cannulated screw is the method of choice for the treatment of a slipped capital femoral epiphysis."
4.5
(23)
Please Login to add comment