{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:44:04Z","timestamp":1787031844908,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"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":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>In primary treatment of slipped capital femoral epiphysis (SCFE) in situ fixation reliably prevents slip progression. The aim of this study was to examine the long-term outcome of SCFE-patients treated by transfixation with Kirschner wires with a special focus on the remodelling process of the hips under this fixation method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>30 patients with stable SCFE (mean initial slip angle: 29\u00b0, mean follow-up: 10 years), who were treated with bilateral transfixation by Kirschner wires, were recruited for this study. At most recent follow-up patients were clinically and radiologically (X-ray and MRI) examined. Medical records were reviewed for previous follow-up time points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Range of motion: At most recent follow-up the mean range of motion was: extension\/flexion: 0\/0\/121, abduction\/adduction: 44\/0\/31, external rotation\/internal rotation: 39\/0\/24. Nearly all dimensions of motion significantly improved during the postoperative course. Head-shaft angle: We saw a significant reduction of the mean head-shaft angle from 29\u00b0 preoperatively to 11\u00b0 at most recent follow-up (p&lt;0.0001). Harris Hip Score (HHS): 24 patients had an excellent, 3 a good, 2 a fair and 1 a poor outcome defined by HHS. Remodelling: At most recent follow-up 25 patients achieved complete remodelling. The remodelling process took place especially during the first postoperative year. Angle alpha: The mean angle alpha of the affected hips at most recent follow-up was 62\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Transfixation with Kirschner wires leads to very good clinical, functional and radiologic results with a low complication rate. Furthermore the femoral head-neck junction retains enough plasticity for an active remodelling process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/hipint.5000298","type":"journal-article","created":{"date-parts":[[2015,10,2]],"date-time":"2015-10-02T07:30:55Z","timestamp":1443771055000},"page":"25-30","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Slipped Capital Femoral Epiphysis: Long-Term Outcome and Remodelling after in Situ Fixation"],"prefix":"10.1177","volume":"26","author":[{"given":"Max","family":"Reinhardt","sequence":"first","affiliation":[{"name":"University of Erlangen-Nuremberg, Erlangen - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Stauner","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, Cnopf'sches Children's Hospital, Nuremberg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Schuh","sequence":"additional","affiliation":[{"name":"Musculoskeletal Centre Neumarkt, Neumarkt - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Steger","sequence":"additional","affiliation":[{"name":"Centre for Radiology and Nuclear Medicine, Orthopaedic Clinic Wichernhaus, Schwarzenbruck - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie","family":"Schraml","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, Cnopf'sches Children's Hospital, Nuremberg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"bibr1-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00040"},{"key":"bibr2-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e328320acea"},{"key":"bibr3-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-2047-6"},{"issue":"6","key":"bibr4-hipint.5000298","first-page":"440","volume":"30","author":"Moreau MJ","year":"1987","journal-title":"Can J Surg"},{"key":"bibr5-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B4.3733827"},{"key":"bibr6-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B4.2380205"},{"key":"bibr7-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B4.12014"},{"key":"bibr8-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199605030-00004"},{"key":"bibr9-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749050-00001"},{"key":"bibr10-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-010-0308-0"},{"key":"bibr11-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00003"},{"key":"bibr12-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163010-00011"},{"key":"bibr13-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"bibr14-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1995.tb13806.x"},{"key":"bibr15-hipint.5000298","first-page":"i","volume":"894","year":"2000","journal-title":"World Health Organ Tech Rep Ser"},{"issue":"1","key":"bibr16-hipint.5000298","first-page":"97","volume":"88","author":"Loder RT","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"bibr17-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-005-0118-y"},{"key":"bibr18-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318246efcb"},{"key":"bibr19-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3182519683"},{"key":"bibr20-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B1.1991780"},{"key":"bibr21-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199808000-00017"},{"key":"bibr22-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100040313"},{"key":"bibr23-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(02)00329-7"},{"key":"bibr24-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B11.29569"},{"key":"bibr25-hipint.5000298","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2014.957078"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/hipint.5000298","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/hipint.5000298","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/hipint.5000298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:18:34Z","timestamp":1777450714000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/hipint.5000298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,9]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.5301\/hipint.5000298"],"URL":"https:\/\/doi.org\/10.5301\/hipint.5000298","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,9]]}}}