2023
DOI: 10.1097/bpo.0000000000002479
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Surgeon Preference for Prophylactic Contralateral Fixation in Slipped Capital Femoral Epiphysis (SCFE) Patients: A Nationwide POSNA Survey Study

Abstract: Background: It is estimated that 11% to 60% of unilateral slipped capital femoral epiphysis (SCFE) patients will develop contralateral pathology, usually within 18 months after the first event. Despite this, prophylactic fixation remains controversial, and there is significant variability in surgeon preferences. Thus, this study aimed to determine which factors predict surgeon preferences for prophylactic contralateral pinning in SCFE patients. Methods: … Show more

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“…Information regarding the status of the tri-radiate physis in SCFE patients has been primarily used when considering prophylactic fixation of the opposite hip when a patient with a unilateral SCFE presents. Popejoy et al [ 36 ] were instrumental in pointing this out, and the literature regarding the status of the tri-radiate physis in SCFE patients seems to concentrate solely on the consideration for prophylactic fixation of the opposite hip [ 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ]. Our findings that the status of the tri-radiate physis in SCFE patients is also correlated with SCFE severity (LESA) is likely new and needs further corroboration from other centers.…”
Section: Discussionmentioning
confidence: 99%
“…Information regarding the status of the tri-radiate physis in SCFE patients has been primarily used when considering prophylactic fixation of the opposite hip when a patient with a unilateral SCFE presents. Popejoy et al [ 36 ] were instrumental in pointing this out, and the literature regarding the status of the tri-radiate physis in SCFE patients seems to concentrate solely on the consideration for prophylactic fixation of the opposite hip [ 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ]. Our findings that the status of the tri-radiate physis in SCFE patients is also correlated with SCFE severity (LESA) is likely new and needs further corroboration from other centers.…”
Section: Discussionmentioning
confidence: 99%