Slipped capital femoral epiphysis: evaluation of different modes of treatment.
We reviewed 91 hips with slipped capital femoral epiphysis (SCFE) after an average follow-up period of 6 years 6 months. Different treatment methods used, according to types and stages of slipping, are discussed. In situ fixation appears to be the best procedure for SCFE with < 60% displacement. Careful reduction-fixation is indicated in acute and acute-on-chronic SCFE > 60%. Primary rotation osteotomies are associated with a high percentage of complications. Secondary osteotomies should be simple (preferably a subtrochanteric derotation osteotomy) to reduce the risk of necrosis. Preventive contralateral fixation is indicated when the growth cartilage is still open.
Rostoucher
P
P
Department of Orthopaedics, Hôpital Robert Debré, Paris, France.
Bensahel
H
H
Pennecot
G F
GF
Kaewpornsawan
K
K
Mazda
K
K
D000293:Adolescent; D002648:Child; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D005270:Femur Head; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009985:Orthopedics / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome