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Journal of Bone and Joint Surgery - British Volume, Vol 72-B, Issue 2, 217-219
Copyright © 1990 by British Editorial Society of Bone and Joint Surgery

Articles

Prophylactic pinning in slipped upper femoral epiphysis. Prevention of complications

RJ Emery, RC Todd, and DM Dunn

Black Notley Hospital, Braintree, Essex, England.

We report the complications of prophylactic pinning of slipped upper femoral epiphysis with Crawford Adams pins in 95 cases. Complications of pin placement were seen in 13.7%. Although seven hips had penetration of the joint, there were no cases of chondrolysis or avascular necrosis. Excavation of the lateral femoral cortex was required at pin removal in 12.5% of cases. Analysis of the growth around pins allowed recommendations to be made regarding pin protrusion. The use of improved fixation devices may reduce the need for multiple pins.




(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General