[Management and treatment results for acute slipped capital femoral epiphysis].
The priorities in treating an acute slip are to avoid avascular necrosis and chondrolysis. Other aims in the unstable situation are to prevent further slip and to correct deformity. We reviewed the management of 16 unstable slips after nearly 9 years. Fifteen patients underwent reduction and stabilization with K wires within 24 h of the onset of severe symptoms. Only one patient in this group developed avascular necrosis (6.6%) and in no case was chondrolysis seen. No correlation was noted between slip magnitude and the development of avascular necrosis. Therefore, we recommend in cases of unstable slips early reduction and stabilization to reduce the risk of avascular necrosis and chondrolysis.
Arnold
P
P
Orthopädische Universitätsklinik Mannheim, Germany. peter.arnold@ortho.ma.uniheidelberg.de
Jani
L
L
Schoeder-Boersch
H
H
Soloniewicz
A
A
D000208:Acute Disease; D000293:Adolescent; D001864:Bone Wires; D002648:Child; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D012189:Retrospective Studies