Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy
Percutaneous screw fixation for slipped capital femoral epiphysis (SCFE) is a standard surgical procedure. This can be performed on a radiolucent “flattop” table or a fracture table, which holds the leg stable and can help with the serendipitous reduction of unstable SCFE's. Pivotal to success...
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Elsevier
2025-02-01
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| Series: | Journal of the Pediatric Orthopaedic Society of North America |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2768276524009830 |
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| author | Emilio Feijoo, BS Michael J. Conklin, MD |
| author_facet | Emilio Feijoo, BS Michael J. Conklin, MD |
| author_sort | Emilio Feijoo, BS |
| collection | DOAJ |
| description | Percutaneous screw fixation for slipped capital femoral epiphysis (SCFE) is a standard surgical procedure. This can be performed on a radiolucent “flattop” table or a fracture table, which holds the leg stable and can help with the serendipitous reduction of unstable SCFE's. Pivotal to success is accurate screw placement in the center of the epiphysis, adequate threads crossing the physis, and avoidance of screw penetration into the joint. Adequate fluoroscopic visualization in all planes is essential. We have used simultaneous biplanar fluoroscopy for accurate screw placement on a fracture table. The indications, techniques, pearls, and pitfalls of this procedure are presented in this study. Key Concepts: (1) Percutaneous screw fixation of SCFE is a mainstay of treatment. (2) Simultaneous biplanar fluoroscopy facilitates accurate screw placement. (3) Positioning on a fracture table can promote incidental reduction in cases where this is desirable. (4) Meticulous attention to room setup, patient positioning, and operative technique are necessary for success. |
| format | Article |
| id | doaj-art-644650eb7b224827809d40c4c467459c |
| institution | Kabale University |
| issn | 2768-2765 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Pediatric Orthopaedic Society of North America |
| spelling | doaj-art-644650eb7b224827809d40c4c467459c2025-02-08T05:01:37ZengElsevierJournal of the Pediatric Orthopaedic Society of North America2768-27652025-02-0110100157Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar FluoroscopyEmilio Feijoo, BS0Michael J. Conklin, MD1Corresponding author: University of Alabama at Birmingham, 1600 7th Ave South, Birmingham, AL 35233, USA.; Children's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, AL, USAChildren's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, AL, USAPercutaneous screw fixation for slipped capital femoral epiphysis (SCFE) is a standard surgical procedure. This can be performed on a radiolucent “flattop” table or a fracture table, which holds the leg stable and can help with the serendipitous reduction of unstable SCFE's. Pivotal to success is accurate screw placement in the center of the epiphysis, adequate threads crossing the physis, and avoidance of screw penetration into the joint. Adequate fluoroscopic visualization in all planes is essential. We have used simultaneous biplanar fluoroscopy for accurate screw placement on a fracture table. The indications, techniques, pearls, and pitfalls of this procedure are presented in this study. Key Concepts: (1) Percutaneous screw fixation of SCFE is a mainstay of treatment. (2) Simultaneous biplanar fluoroscopy facilitates accurate screw placement. (3) Positioning on a fracture table can promote incidental reduction in cases where this is desirable. (4) Meticulous attention to room setup, patient positioning, and operative technique are necessary for success.http://www.sciencedirect.com/science/article/pii/S2768276524009830Slipped capital femoral epiphysisSCFEBiplanar fluoroscopyPercutaneous screw fixation |
| spellingShingle | Emilio Feijoo, BS Michael J. Conklin, MD Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy Journal of the Pediatric Orthopaedic Society of North America Slipped capital femoral epiphysis SCFE Biplanar fluoroscopy Percutaneous screw fixation |
| title | Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy |
| title_full | Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy |
| title_fullStr | Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy |
| title_full_unstemmed | Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy |
| title_short | Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis Using Biplanar Fluoroscopy |
| title_sort | percutaneous screw fixation of slipped capital femoral epiphysis using biplanar fluoroscopy |
| topic | Slipped capital femoral epiphysis SCFE Biplanar fluoroscopy Percutaneous screw fixation |
| url | http://www.sciencedirect.com/science/article/pii/S2768276524009830 |
| work_keys_str_mv | AT emiliofeijoobs percutaneousscrewfixationofslippedcapitalfemoralepiphysisusingbiplanarfluoroscopy AT michaeljconklinmd percutaneousscrewfixationofslippedcapitalfemoralepiphysisusingbiplanarfluoroscopy |