A retrospective study of 125 cases of slipped capital femoral epiphysis

Roy G. Kulick, J. R. Denton

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

A series of 125 cases of slipped capital femoral epiphysis in 94 patients was followed an average of 4.7 years. Initial treatment consisted of closed reduction with internal fixation in 13 cases, cervical cuneiform osteotomy with internal fixation in nine, and in situ fixation in the remainder. The end-results were good in 82% of the cases. Of the nine failures, eight were due to avascular necrosis or chondrolysis. Closed reduction should be performed only in acute or acute-on-chronic slippings. Chronic slippings should be nailed in situ. The use of more involved procedures, such as cuneiform osteotomy, is not recommended because of the risk of avascular necrosis and because they do not allow the natural forces of remodeling to improve the deformity. Using this method, only three slippings required subsequent osteotomy.

Original languageEnglish (US)
Pages (from-to)87-90
Number of pages4
JournalClinical Orthopaedics and Related Research
VolumeNo. 162
StatePublished - 1982
Externally publishedYes

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Slipped Capital Femoral Epiphyses
Osteotomy
Retrospective Studies
Necrosis
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

A retrospective study of 125 cases of slipped capital femoral epiphysis. / Kulick, Roy G.; Denton, J. R.

In: Clinical Orthopaedics and Related Research, Vol. No. 162, 1982, p. 87-90.

Research output: Contribution to journalArticle

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