Second operation for slipped capital femoral epiphysis: pin removal

Pin removal procedures were retrospectively reviewed for 43 hips in 31 patients. Original treatment had included use of Knowles, Steinmann, Hagie, and cannulated steel pins. Time to pin extraction ranged from 5 to 70 months. Average operative time was slightly more than 1 h and average blood loss wa...

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Bibliographic Details
Published inJournal of pediatric orthopaedics Vol. 12; no. 4; p. 434
Main Authors Crandall, D G, Gabriel, K R, Akbarnia, B A
Format Journal Article
LanguageEnglish
Published United States 01.07.1992
Subjects
Adolescent
Blood Loss, Surgical
Bone Nails
Child
Costs and Cost Analysis
Epiphyses, Slipped - economics
Epiphyses, Slipped - rehabilitation
Epiphyses, Slipped - surgery
Equipment Failure
Female
Humans
Length of Stay - economics
Male
Reoperation
Retrospective Studies
Time Factors
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Summary:Pin removal procedures were retrospectively reviewed for 43 hips in 31 patients. Original treatment had included use of Knowles, Steinmann, Hagie, and cannulated steel pins. Time to pin extraction ranged from 5 to 70 months. Average operative time was slightly more than 1 h and average blood loss was 127 ml. Bone overgrowth and difficult extraction was encountered with all pin types. Pin breakage during extraction was recorded with Steinmann and Knowles pins. Delay in return to full activity postoperatively was a common complaint. This study shows that pin removal is not without certain costs and risks.
ISSN:0271-6798
DOI:10.1097/01241398-199207000-00003