HSS Journal

, Volume 2, Issue 2, pp 172–175

Computerized Navigation for Treatment of Slipped Femoral Capital Epiphysis

  • Yoram Weil
  • Andrew Pearle
  • Meir Liebergall
  • Naum Simanovsky
  • Shlomo Porat
  • Rami Moshieff
Technical Note

Abstract

In situ pinning with a single screw is the treatment of choice for symptomatic slipped capital femoral epiphysis (SCFE). Some technical features are critical and include proper screw entry point, screw direction in relation to the epiphysis, and the length of screw. These are complicated by the deformity created as a result of the posterior slip of the epiphysis. Fluoroscopic based computerized navigation system can increase precision in screw placement while performing the surgical task, and markedly reduce radiation. By using real fluoroscopy-based navigation, the screw can be placed with only two fluoroscopic images. Entry point, length, and precise direction can all be easily determined through this technique.

Key words

slipped capital femoral epiphysis computerized navigation in situ pinning 

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Copyright information

© Hospital for Special Surgery 2006

Authors and Affiliations

  • Yoram Weil
    • 1
    • 2
  • Andrew Pearle
    • 1
  • Meir Liebergall
    • 2
  • Naum Simanovsky
    • 2
  • Shlomo Porat
    • 2
  • Rami Moshieff
    • 2
  1. 1.Orthopedic Trauma ServiceHospital for Special SurgeryNew YorkUSA
  2. 2.Department of Orthopedic SurgeryThe Hadassah University HospitalJerusalemIsrael

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