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Previous data have shown that due to the technical ease, low-morbidity, and lower complication rates, the  in situ single-implant fixation is the current standard for stabilization of slipped capital femoral epiphysis (SCFE) fixation. Multiple-implant fixation is thought to be combined with a higher incidence of serious complications. The purpose of the current study was to evaluate single- vs. multiple-implant fixation regarding strength and stiffness. Furthermore, different screw designs, including telescopic screw, were evaluated regarding the stiffness, strength, and especially fixation failure.

Biomechanical analysis of screw fixation vs. K-wire fixation of a slipped capital femoral epiphysis model