Treatment of moderate to severe slipped capital femoral epiphysis with extracapsular base-of-neck osteotomy.
Extracapsular base of femoral neck osteotomy was performed in 36 hips with moderate to severe slipped capital femoral epiphysis (SCFE). Follow-up ranged from 2 to 24 years (average 9 years). According to modified Southwick's criteria, 90% of the hips had excellent or good result. There were no cases of avascular necrosis (AVN). Prevention of permanent limb-length discrepancy > 15 mm, as occurs in unilateral cases, warrants close follow-up and contralateral epiphysiodesis when necessary. We highly recommend this osteotomy as a safe and effective way to prevent further slippage and improve hip range of motion (ROM) in severe chronic slips.
Department of Orthopaedics, University of Illinois College of Medicine, Chicago 60680.
E
E
Abraham
J
J
Garst
R
R
Barmada
D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005270:Femur Head; D005272:Femur Neck / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D016059:Range of Motion, Articular