title: Surgery for slipped capital femoral epiphysis in adolescents.
abstract: The treatment of slipped capital femoral epiphysis (SCFE) in adolescents remains controversial. The goal of initial treatment is to prevent further slippage of the epiphysis. In mild forms, both stable and unstable, in situ fixation is widely accepted as the reference treatment. In contrast, several techniques are available for stable moderate-to-severe SCFE. In unstable moderate-to-severe SCFE, emergent reduction with decompression and internal fixation is currently the preferred method. Selection of the surgical technique rests on an appraisal of advantages versus drawbacks. The goal of this review is to discuss the various surgical methods available for SCFE in adolescents.
authors.affiliation: Clinique chirurgicale infantile, centre hospitalier universitaire de Rouen, 1, rue de Germont, 76031 Rouen, France. Electronic address: saad.abu-amara@chu-rouen.fr.
authors.forename: S
authors.initials: S
authors.lastname: Abu Amara
authors.affiliation: Clinique chirurgicale infantile, centre hospitalier universitaire de Rouen, 1, rue de Germont, 76031 Rouen, France.
authors.forename: J
authors.initials: J
authors.lastname: Leroux
authors.affiliation: Clinique chirurgicale infantile, centre hospitalier universitaire de Rouen, 1, rue de Germont, 76031 Rouen, France.
authors.forename: J
authors.initials: J
authors.lastname: Lechevallier
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D001863:Bone Screws; D001864:Bone Wires; D004839:Epiphyses, Slipped / Q000601:surgery*; D005270:Femur Head / Q000601:surgery*; D006132:Growth Plate / Q000601:surgery; D006801:Humans; D058638:Operating Tables; D056888:Patient Positioning; D011182:Postoperative Care; D013523:Surgical Equipment; D014057:Tomography, X-Ray Computed
keywords: In situ fixation; Osteotomy; Reduction; Slipped capital femoral epiphysis; Treatment