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  • Title: Prophylactic pinning in slipped upper femoral epiphysis. Prevention of complications.
    Author: Emery RJ, Todd RC, Dunn DM.
    Journal: J Bone Joint Surg Br; 1990 Mar; 72(2):217-9. PubMed ID: 2312558.
    Abstract:
    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.
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