Salh, D., Abdelrahman, K., Abdelwahab, A., Algohiny, I. (2022). Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis. The Egyptian Journal of Hospital Medicine, 88(1), 3931-3937. doi: 10.21608/ejhm.2022.253075
Dalal Ahmed Hasan Salh; Khalid Edris Abdelrahman; Ahmed Mohammed Abdelwahab; Ibrahim Abdelallatif Ibrahim Algohiny. "Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis". The Egyptian Journal of Hospital Medicine, 88, 1, 2022, 3931-3937. doi: 10.21608/ejhm.2022.253075
Salh, D., Abdelrahman, K., Abdelwahab, A., Algohiny, I. (2022). 'Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis', The Egyptian Journal of Hospital Medicine, 88(1), pp. 3931-3937. doi: 10.21608/ejhm.2022.253075
Salh, D., Abdelrahman, K., Abdelwahab, A., Algohiny, I. Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis. The Egyptian Journal of Hospital Medicine, 2022; 88(1): 3931-3937. doi: 10.21608/ejhm.2022.253075
Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis
Background: Several studies have failed to demonstrate a clinical or biomechanical advantage to multiple pins and advocate the using larger-diameter one screw inserted into the center-center position of epiphysis in managing of Slipped Capital Femoral Epiphysis (SCFE). Objective: evaluation of functional outcome of using single screw in fixation of SCFE. Methods: The present study included 18 patients with slipped capital femoral epiphysis who enrolled for single screw fixation at Orthopedic Department, Zagazig University Hospitals. Results: Southwick angle was significantly decreased from 32.38±12.33 to 23.0±10.74. Harris hip score was non-significantly increased from 51.05 ± 17.63 to 75.05 ± 12.57. About 5.6% of the studied patients had complication and 94.4% had no complication. There was significant relation between complication and renal failure co-morbidity. Conclusion: single screw fixation has good results with low complication rate and considered as an effective method in managing slipped capital femoral epiphysis. Single-screw in situ fixation is the optimal treatment for a stable SCFE, while immediate mild reduction, decompression, and internal fixation are preferred for an unstable SCFE.