SINGLE VERSUS DOUBLE SCREW FIXATION FOR TREATMENT OF SLIPPED CAPITAL FEMORAL EPIPHYSIS - A BIOMECHANICAL ANALYSIS

被引：53

作者：

KAROL, LA

DOANE, RM

CORNICELLI, SF

ZAK, PA

HAUT, RC

MANOLI, A

机构：

[1] Department of Orthopaedic Surgery, Wayne State University School of Medicine, Detroit

[2] Department of Biomechanics, College of Osteopathic Medicine, Michigan State University, East Lansing, MI

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1992年 / 12卷 / 06期

关键词：

BOVINE FEMUR; SINGLE OR DOUBLE SCREW FIXATION; SLIPPED CAPITAL FEMORAL EPIPHYSIS;

D O I：

10.1097/01241398-199211000-00008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Slipped capital femoral epiphyses (SCFE) were created in 10 pair of bovine femurs. Each pair was pinned with a single screw on one side and two screws contralaterally. The specimens were reloaded to failure. Double pin fixation yielded only a 33% increase in stiffness as compared with single pin fixation. Resistance to further slip was not proportional to screw number. The stiffness of neither double nor single screw fixation approximated that of the intact physis. Single screw fixation in slipped epiphyses is recommended because the small gains in stiffness with a second screw do not offset the risk of complications.

引用

页码：741 / 745

页数：5

共 15 条

[1]

Bennett G.C., Koreska J., Rang M., Pin placement in slipped capital femoral epiphysis, J Pediatr Orthop, 4, pp. 574-578, (1984)

[2]

Boyer D.W., Mickelson M.R., Ponseti I.V., Slipped capital femoral epiphysis: Long term follow-up study of 121 patients, J Bone Joint Surg [Am], 63, pp. 85-95, (1981)

[3]

Chung S.M., Batterman S.C., Brighton C.T., Shear strength of the human femoral capital epiphyseal plate, J Bone Joint Surg [Am], 58, pp. 94-103, (1976)

[4]

Crawford A.H., Slipped capital femoral epiphysis, J Bone Joint Surg [Am], 70, pp. 1422-1427, (1988)

[5]

Greenough C.G., Bromage J.D., Jackson A.M., Pinning of the slipped upper femoral epiphysis: A trouble-free procedure?, J Pediatr Orthop, 5, pp. 657-660, (1985)

[6]

Hamilton G.F., Turner A.S., Ferguson J.G., Pharr J.W., Slipped capital femoral epiphysis in calves, J am Vet Med Assoc, 172, pp. 1318-1322, (1978)

[7]

Ingram A.J., Clarke M.S., Clark C.S., Marshall W.R., Chon-drolysis complicating slipped capital femoral epiphysis, Clin Orthop, 165, pp. 99-109, (1982)

[8]

Kruger D.M., Herzenberg J.E., Viviano D.M., Hak D.J., Golstein S.A., Biomechanical comparison of single- and double-pin fixation for acute slipped capital femoral epiphysis, Clin Orthop, 259, pp. 277-281, (1990)

[9]

Lehman W.B., Menche D., Grant A., Norman A., Pugh J., The problem of evaluating in situ pinning of slipped capital femoral epiphysis: An experimental model and a review of 63 consecutive cases, J Pediatr Orthop, 4, pp. 297-303, (1984)

[10]

Mann D., Weddington J., Slipped capital femoral epiphysis: Results of treatment with a single cannulated screw, Orthopedics, 12, pp. 251-255, (1989)

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