The treatment of slipped upper femoral epiphysis by fibular grafting.
Fixation and early fusion of slipped upper femoral epiphysis can be achieved by the use of a fibular graft inserted through a lateral approach under X-ray control. Experience of the method in 18 hips has shown that fusion of the epiphysis had occurred in all cases by 19 weeks after operation whereas in 6 out of 13 cases treated with Moore's pins fusion was delayed beyond 6 months. The clinical and radiological results were comparable to those in cases treated with Moore's pins. There were no complications associated with the donor area. The method is suitable for the treatment of all stages of the condition with the exception of the most extreme degrees of chronic slip.
D000293:Adolescent; D002648:Child; D004839:Epiphyses, Slipped / Q000601:surgery*; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005270:Femur Head / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D005593:Fracture Fixation, Internal; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology; D008297:Male; D009336:Necrosis / Q000209:etiology; D011183:Postoperative Complications; D014182:Transplantation, Autologous