PURPOSE: In primary treatment of @entity4039 ( @entity4039 ) in situ fixation reliably prevents slip progression. The aim of this study was to examine the long-term outcome of @entity4039 - @entity1 treated by transfixation with Kirschner wires with a special focus on the remodelling process of the hips under this fixation method. METHODS: 30 @entity1 with stable @entity4039 (mean initial slip angle: 29  , mean follow-up: 10 years), who were treated with bilateral transfixation by Kirschner wires, were recruited for this study. At most recent follow-up @entity1 were clinically and radiologically ( @entity7994 ) examined. Medical records were reviewed for previous follow-up time points. RESULTS: Range of motion: At most recent follow-up the mean range of motion was: extension/flexion: 0/0/121, abduction/adduction: 44/0/31, external rotation/internal rotation: 39/0/24. Nearly all dimensions of motion significantly improved during the postoperative course.Head-shaft angle: We saw a significant reduction of the mean head-shaft angle from 29   preoperatively to 11   at most recent follow-up (p<0.0001).Harris Hip Score (HHS): 24 @entity1 had an excellent, 3 a good, 2 a fair and 1 a poor outcome defined by HHS.Remodelling: At most recent follow-up 25 @entity1 achieved complete remodelling. The remodelling process took place especially during the first postoperative year.Angle alpha: The mean angle alpha of the affected hips at most recent follow-up was 62  . CONCLUSIONS: Transfixation with Kirschner wires leads to very good clinical, functional and radiologic results with a low complication rate. Furthermore the femoral head-neck junction retains enough plasticity for an active remodelling process.

Slipped XXXX : long-term outcome and remodelling after in situ fixation.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4039 :: ('MESH:D060048', 'Disease') :: ['slipped capital femoral epiphysis', 'SCFE'] @entity7994 :: ('78996', 'Gene') :: ['X-ray and MRI']
@entity4039 :: (MESH:D060048,Disease) :: ['capital femoral epiphysis']
