{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T01:01:35Z","timestamp":1773709295382,"version":"3.50.1"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"3-4","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":58,"URL":"http:\/\/www.nationalarchives.gov.uk\/doc\/open-government-licence\/version\/3\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>In severe, stable slipped capital femoral epiphysis, it is unclear whether pinning in situ (PIS) or capital realignment procedures (CRPs) are superior. Our primary aim was to compare patient-reported outcome measures (PROMs) following each strategy. Secondary aims were to compare rates of femoral head avascular necrosis (AVN) and complications. MEDLINE, Embase and Cochrane databases were searched according to an agreed strategy. Narrative review articles, case reports, letters to the editor and articles not written in English were excluded. The risk of bias was assessed using the Newcastle\u2013Ottawa Scale. Of the 132 citations identified, 127 were excluded following de-duplication and application of the exclusion criteria. Three observational studies comparing PIS with CRP and two case series considering CRP alone were identified. One article was considered fair quality, and four articles were considered poor. In total, 198 hips from five studies were included (66 PIS, 132 CRP). PIS was associated with moderate-good functional outcomes, and CRP with good-high outcomes. Two comparative studies reported significantly better PROMs following CRP. AVN was reported in 1.5% following PIS and 10.6% following CRP. Regarding other complications, chondrolysis occurred in 3.0% following PIS and 2.4% following CRP. Femoroacetabular impingement rates were markedly higher following PIS (60.6% versus 2.3%). Reoperation rates were also greater following PIS (34.5% versus 13.3%). PIS tends to be associated with favourable AVN rates, but CRP with favourable PROMs and complication rates. However, comparisons were drawn from heterogeneous studies lacking long-term follow-up. Further high-quality research is required.<\/jats:p>","DOI":"10.1093\/jhps\/hnad032","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T17:25:49Z","timestamp":1695662749000},"page":"238-243","source":"Crossref","is-referenced-by-count":1,"title":["Comparing pinning <i>in situ<\/i> and\u00a0capital realignment procedures for\u00a0severe, stable slipped capital femoral epiphysis: a systematic review"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1693-6052","authenticated-orcid":false,"given":"Grace E M","family":"Kennedy","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust , Truro TR1 3LJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Pullan","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospitals Plymouth , Plymouth PL6 8DH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5335-8327","authenticated-orcid":false,"given":"Ahmed","family":"El-Bakoury","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospitals Plymouth , Plymouth PL6 8DH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"2023123012383266300_R1","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.jpeds.2010.04.018","article-title":"Prognostic significance of\u00a0stability in\u00a0slipped upper femoral epiphysis: a systematic review and\u00a0meta-analysis","volume":"157","author":"Tosounidis","year":"2010","journal-title":"J Pediatr"},{"key":"2023123012383266300_R2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s12178-019-09547-5","article-title":"Evolving understanding of\u00a0and treatment approaches to slipped capital femoral epiphysis","volume":"12","author":"Wylie","year":"2019","journal-title":"Curr Rev Musculoskelet Med"},{"key":"2023123012383266300_R3","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/j.pcl.2014.08.001","article-title":"Slipped capital femoral epiphysis: how to evaluate with a review and\u00a0update of\u00a0treatment","volume":"61","author":"Georgiadis","year":"2014","journal-title":"Pediatr Clin North Am"},{"key":"2023123012383266300_R4","first-page":"21","article-title":"Management of\u00a0slipped capital femoral epiphysis: the Hawai\u2019i experience","volume":"78","author":"Livingstone","year":"2019","journal-title":"Hawaii J Health Soc Welf"},{"key":"2023123012383266300_R5","doi-asserted-by":"crossref","first-page":"S99","DOI":"10.1097\/BPO.0b013e3182860050","article-title":"Risks and\u00a0benefits of\u00a0the modified Dunn approach for\u00a0treatment of\u00a0moderate or severe slipped capital femoral epiphysis","volume":"33","author":"Tibor","year":"2013","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R6","article-title":"Factors affecting outcomes of\u00a0slipped capital femoral epiphysis","volume":"12","author":"Samelis","year":"2020","journal-title":"Cureus"},{"key":"2023123012383266300_R7","doi-asserted-by":"crossref","first-page":"S18","DOI":"10.1097\/BPO.0000000000000297","article-title":"High-grade SCFE: the role of\u00a0surgical hip dislocation and\u00a0reduction","volume":"34","author":"Sucato","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R8","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.jos.2017.12.009","article-title":"Diagnosis and\u00a0treatment of\u00a0slipped capital femoral epiphysis: recent trends to note","volume":"23","author":"Otani","year":"2018","journal-title":"J Orthop Sci"},{"key":"2023123012383266300_R9","doi-asserted-by":"crossref","first-page":"2118","DOI":"10.1007\/s11999-015-4186-0","article-title":"CORR Insights(\u00ae): modified Dunn procedure is superior to in\u00a0situ pinning for\u00a0short-term clinical and\u00a0radiographic improvement in\u00a0severe stable\u00a0SCFE","volume":"473","author":"Kim","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"2023123012383266300_R10","doi-asserted-by":"crossref","first-page":"S158","DOI":"10.1097\/BPO.0b013e318259f2d1","article-title":"What is the best evidence for\u00a0the treatment of\u00a0slipped capital femoral epiphysis?","volume":"32","author":"Loder","year":"2012","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R11","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s10195-017-0469-4","article-title":"Treatment of\u00a0stable slipped capital femoral epiphysis: systematic review and\u00a0exploratory patient level analysis","volume":"18","author":"Naseem","year":"2017","journal-title":"J Orthop Traumatol"},{"key":"2023123012383266300_R12","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1302\/0301-620X.104B4.BJJ-2021-1709.R1","article-title":"The British Orthopaedic Surgery Surveillance study: slipped capital femoral epiphysis: the epidemiology and\u00a0two-year outcomes from a prospective cohort in\u00a0Great Britain","volume":"104-b","author":"Perry","year":"2022","journal-title":"Bone Joint J"},{"key":"2023123012383266300_R13","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1302\/0301-620X.100B5.BJJ-2018-0051","article-title":"A consensus exercise identifying priorities for\u00a0research into clinical effectiveness among children\u2019s orthopaedic surgeons in\u00a0the United Kingdom","volume":"100-b","author":"Perry","year":"2018","journal-title":"Bone Joint J"},{"key":"2023123012383266300_R14","article-title":"The Newcastle-Ottawa Scale (NOS) for\u00a0assessing the 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fixation for\u00a0severe stable slipped capital femoral epiphysis","volume":"89","author":"Trisolino","year":"2018","journal-title":"Acta Orthop"},{"key":"2023123012383266300_R18","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1097\/BPO.0000000000000695","article-title":"Long-term results of\u00a0combined epiphysiodesis and\u00a0imhauser intertrochanteric osteotomy in\u00a0SCFE: a retrospective study on\u00a053 hips","volume":"37","author":"Trisolino","year":"2017","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R19","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1097\/01241398-200011000-00010","article-title":"Long-term follow-up study after corrective Imh\u00e4user osteotomy for\u00a0severe slipped capital femoral epiphysis","volume":"20","author":"Kartenbender","year":"2000","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R20","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/BPO.0000000000000854","article-title":"Subcapital shortening osteotomy for\u00a0severe slipped capital femoral epiphysis: preliminary results of\u00a0the French Multicenter Study","volume":"38","author":"Ilharreborde","year":"2018","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R21","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/BPO.0000000000000936","article-title":"Treatment of\u00a0slipped capital femoral epiphysis with the modified Dunn procedure: a multicenter study","volume":"39","author":"Masquijo","year":"2019","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R22","doi-asserted-by":"crossref","first-page":"585","DOI":"10.2106\/JBJS.L.00203","article-title":"The modified Dunn procedure for\u00a0unstable slipped capital femoral epiphysis: a multicenter 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study","volume":"97-b","author":"Walton","year":"2015","journal-title":"Bone Joint J"},{"key":"2023123012383266300_R28","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1097\/BPO.0000000000000193","article-title":"The role of\u00a0capital realignment versus in\u00a0situ stabilization for\u00a0the treatment of\u00a0slipped capital femoral epiphysis","volume":"34","author":"Souder","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R29","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/BPO.0000000000000737","article-title":"Treatment of\u00a0unstable slipped capital epiphysis via the modified Dunn procedure","volume":"38","author":"Persinger","year":"2018","journal-title":"J Pediatr Orthop"},{"key":"2023123012383266300_R30","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.1302\/0301-620X.97B12.35259","article-title":"Outcomes following subcapital osteotomy for\u00a0severe slipped upper femoral epiphysis","volume":"97-b","author":"Vanhegan","year":"2015","journal-title":"Bone Joint J"},{"key":"2023123012383266300_R31","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1093\/jhps\/hnac019","article-title":"Is there a persistent capital femoral epiphysis growth after screw fixation for\u00a0slipped capital femoral epiphysis?","volume":"9","author":"Sleth","year":"2022","journal-title":"J Hip Preserv Surg"}],"container-title":["Journal of Hip Preservation Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jhps\/article-pdf\/10\/3-4\/238\/54927830\/hnad032.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jhps\/article-pdf\/10\/3-4\/238\/54927830\/hnad032.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T12:39:05Z","timestamp":1703939945000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jhps\/article\/10\/3-4\/238\/7285596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,1]]},"references-count":31,"journal-issue":{"issue":"3-4","published-online":{"date-parts":[[2023,9,28]]},"published-print":{"date-parts":[[2023,12,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jhps\/hnad032","relation":{},"ISSN":["2054-8397"],"issn-type":[{"value":"2054-8397","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,8,1]]},"published":{"date-parts":[[2023,8,1]]}}}