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  • Title: Treatment of slipped capital femoral epiphysis with a cannulated-screw technique.
    Author: Koval KJ, Lehman WB, Rose D, Koval RP, Grant A, Strongwater A.
    Journal: J Bone Joint Surg Am; 1989 Oct; 71(9):1370-7. PubMed ID: 2793890.
    Abstract:
    Sixty patients (eighty hips) who had slipped capital femoral epiphysis were treated by epiphyseodesis with a cannulated-screw technique. Forty-nine patients (sixty-seven hips) were available for follow-up, forty-four (sixty hips) of whom were followed for a minimum of two years. Thirty-five patients (forty-six hips) were followed until the hardware was removed. Of seventy-two hips in which contrast medium was injected, arthrographic results were obtained in three. In these three hips, there was evidence of pre-existing narrowing of the joint space. Four patients (six hips) who did not have evidence of penetration by a screw or guide-wire had evidence of either pre-existing chondrolysis or osteoarthrosis. Chondrolysis did not develop postoperatively in any patient who had no evidence of it preoperatively.
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