Predicting epiphyseal stability of slipped capital femoral epiphysis with preoperative CT imaging.

ABSTRACT:

Background

We analyzed preoperative CT scans of hips with slipped capital femoral epiphysis (SCFE) for characteristics that could be predictive of intraoperative epiphyseal stability and developed a set of imaging criteria for stable and unstable SCFE. We then compared this grading system with the Loder classification.

Methods

We reviewed preoperative CT imaging to develop a SCFE stability classification system. Three orthopaedic surgeons used the classification system to grade stability on a series of SCFE hips. Kappa was used to evaluate intra- and interobserver reliability among the observers. A series of SCFE hips treated with open procedures in which intraoperative stability was determined under direct visualization was evaluated. Intraoperative stability was compared w

SUBMITTER: Fischer-Colbrie ME 

PROVIDER: S-EPMC7043117 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature