{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:01:15Z","timestamp":1790769675605,"version":"4.1.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T00:00:00Z","timestamp":1617840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The modified Dunn procedure (MDP) has risen enthusiasm in treating slipped capital femoral epiphyses (SCFE) due to the anatomic reduction and high patients\u2019 satisfaction rates at long-term follow-up. Main aim of this study is to compare clinical and radiographic outcomes of 2 cohorts with moderate to severe stable SCFE treated by MDP and in situ fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Medical records were analysed to collect demographic data, comorbidities and time from slip to surgery. The collected postoperative data were: avascular necrosis (AVN); complications; progression of osteoarthritis and subsequent procedures. Southwick angles (SA), alpha angles and Klein line were measured on the preoperative x-rays, on the immediate postoperative period and at the latest follow-up. Outcomes scores were recorded by the following questionnaires: the Harris Hip Score, the Hip disability and Osteoarthritis Outcome Score, the Merle d\u2019Aubign\u00e9 and Postel score and the Western Ontario and McMaster Universities Arthritis Index. Kaplan-Meier survivorship curve was calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We compared 81 hips treated by MDP with 22 hips treated by in situ pinning (PS) for moderate\/severe stable SCFE. No significant differences were found between the 2 groups in terms of age, BMI, comorbidities and preoperative slip angles. At the latest follow-up, postoperative anteroposterior mean slip angles were respectively 6.2 and 19.9\u00b0 in MDP and PS group ( p\u2009=\u20090.3). Slip angles in frog lateral view were 11\u00b0 in the MDP group and 39.7\u00b0 in the PS group ( p\u2009=\u20090.2). MDP group achieved better correction angles on frog leg view (11\u00b0 vs. 39.7\u00b0; p\u2009&lt;\u20090.001). There was no statistically significant difference in the occurrence of AVN among both groups (19.7% MDP group vs. 31.8% PS group) ( p\u2009=\u20090.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The MDP in treating severe stable SCFE showed the best deformities corrections in conjunction with the highest functional scores at long-term follow-up and similar rates of osteonecrosis compared to in situ fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000211004862","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T07:36:58Z","timestamp":1617867418000},"page":"813-819","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Modified Dunn procedure versus percutaneous pinning in moderate\/severe stable slipped capital femoral epiphyses"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2563-2242","authenticated-orcid":false,"given":"Claudia","family":"Galletta","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2514-4719","authenticated-orcid":false,"given":"Alessandro","family":"Aprato","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Giachino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8058-8259","authenticated-orcid":false,"given":"Giorgio","family":"Marre\u2019 Brunenghi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, IRCCS Istituto \u2018Giannina Gaslini\u2019, Children\u2019s Hospital, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvio","family":"Boero","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, IRCCS Istituto \u2018Giannina Gaslini\u2019, Children\u2019s Hospital, Genova, Liguria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigino","family":"Turchetto","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Portogruaro Hospital, Portogruaro, Veneto, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Mass\u00e8","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Torino, Torino, 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