Transtrochanteric anterior rotational osteotomy for slipped capital femoral epiphysis: a report of five cases.
We have performed a transtrochanteric anterior rotational osteotomy on five patients with severe chronic slipped capital femoral epiphysis. Four patients were free from clinical symptoms, whereas one patient continued to feel a dull pain in the hip. Radiographic evaluation indicated that the osteotomy was able to correct even a severe slip without any deformity around the trochanteric region. There were complications in two cases: a posteromedial tilt at the osteotomy site and a focal avascular necrosis in the anterolateral epiphysis.
D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D004839:Epiphyses, Slipped / Q000601:surgery*; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005271:Femur Head Necrosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010146:Pain / Q000209:etiology; D011183:Postoperative Complications; D011859:Radiography; D012399:Rotation