Zur Implantatpositionierung bei der Epiphysiolysis capitis femoris

Abstract

Which consequences can be ascribed to the intraarticular position of devices in the operative treatment of a slipped capital femoral epiphysis? Which steps are to define as a standard of a careful procedure? The clinical and radiological results of five cases of a pin or nail penetration after the operative treatment of a slipped capital femoral epiphysis are described, a possible connection of casualties is investigated. The intraarticular position of devices in most cases goes along with an unfortunate clinical outcome and leads to a higher risk of developing chondrolysis. Because of the radiologic overprojection with the femoral head it is possible to oversee the malposition of the pin. Any operative treatment of a slipped capital femoral epiphysis requires a careful intraoperative X-ray examination combined with documentation. With this procedure the bad results of an intraarticular implant position must be ascribed to the reminding risk of a fateful development.

Vergleich der Therapie der Epiphyseolysis capitis femoris mit Kirschner-Drähten und kanülierten Titanschrauben

“…Das Durchschnittsalter der Jungen betrug 13,1 (9 -16), das der Mädchen 11,[5][6][7][8][9][10][11][12][13][14] Jahre. Zum Zeitpunkt der Operation betrug der Body Mass Index (BMI) 24,2 (Min: 20; Max: 32) bei den mit Kirschner-Drähten und 21,9 (Min: 15; Max: 32) bei den mit Titanschrauben behandelten Kindern.…”