Operative Techniques in Orthopaedics
Volume 19, Issue 1 , Pages 6-12 , January 2009

Surgical Technique: Open Reduction and Internal Fixation for Unstable Slipped Capital Femoral Epiphysis

  • Stephen E. Adolfsen, MD
    • ,
  • Daniel J. Sucato, MD, MS

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Daniel J. Sucato, MD, MS, Department of Orthopaedics, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219

References 

  1. Abraham E, Gonzalez MH, Pratap S, et al. Clinical implications of anatomical wear characteristics in slipped capital femoral epiphysis and primary osteoarthritis. J Pediatr Orthop. 2007;27:788–795
  2. Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip: A technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83:1119–1124
  3. Leunig M, Slongo T, Ganz R. Subcapital realignment in slipped capital femoral epiphysis: Surgical hip dislocation and trimming of the stable trochanter to protect the perfusion of the epiphysis. Instr Course Lect. 2008;57:499–507
  4. Mooney JF, Sanders JO, Browne RH, et al. Management of unstable/acute slipped capital femoral epiphysis: Results of a survey of the POSNA membership. J Pediatr Orthop. 2005;25:162–166
  5. Kalogrianitis S, Tan CK, Kemp GJ, et al. Does unstable slipped capital femoral epiphysis require urgent stabilization?. J Pediatr Orthop B. 2007;16:6–9
  6. Gordon JE, Abrahams MS, Dobbs MB, et al. Early reduction, arthrotomy, and cannulated screw fixation in unstable slipped capital femoral epiphysis treatment. J Pediatr Orthop. 2002;22:352–358
  7. Peterson MD, Weiner DS, Green NE, et al. Acute slipped capital femoral epiphysis: The value and safety of urgent manipulative reduction. J Pediatr Orthop. 1997;17:648–654
  8. Notzli HP, Siebenrock KA, Hempfing A, et al. Perfusion of the femoral head during surgical dislocation of the hip: Monitoring by laser doppler flowmetry. J Bone Joint Surg B. 2002;84:300–304
  9. Rubin LE, Galante NJ, Smith BG, et al. Direct intraosseous pressure monitoring of the femoral head during surgery for slipped capital femoral epiphysis. Orthopedics. 2008;31:663–666
  10. Kennedy JG, Hresko MT, Kasser JR, et al. Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop. 2001;21:189–193
  11. Rattey T, Piehl F, Wright JG. Acute slipped capital femoral epiphysis: Review of outcomes and rates of avascular necrosis. J Bone Joint Surg Am. 1996;78:398–402
  12. Nisar A, Salama A, Freeman JV, et al. Avascular necrosis in acute and acute-on-chronic slipped capital femoral epiphysis. J Pediatr Orthop B. 2007;16:393–398
  13. Loder RT, Richards BS, Shapiro PS, et al. Acute slipped capital femoral epiphysis: The importance of physeal stability. J Bone Joint Surg Am. 1993;75:1134–1140
  14. Tokmakova KP, Stanton RP, Mason DE. Factors influencing the development of osteonecrosis in patients treated for slipped capital femoral epiphysis. J Bone Joint Surg Am. 2003;85-A:798–801
  15. Maeda S, Kita A, Funayama K, et al. Vascular supply to slipped capital femoral epiphysis. J Pediatr Orthop. 2001;21:664–667
  16. Herrera-Soto JA, Duffy MF, Birnbaum MA, et al. Increased intracapsular pressures after unstable slipped capital femoral epiphysis. J Pediatr Orthop. 2008;28:723–728
  17. Rebello G, Spencer S, Millis MB, et al. Surgical dislocation in the management of pediatric and adolescent hip deformity. Clin Orthop Relat Res. 2009;467:724–731
  18. Sucato D, Podeszwa D: Surgical dislocation with open reduction and internal fixation for unstable slipped Capital femoral epiphysis: Early promising results. Podium Presentation at the Annual Meeting of the Pediatric Orthopaedic Society of North America, May 2007, Hollywood, FL
  19. Spencer S, Millis MB, Kim YJ. Early results of treatment of hip impingement syndrome in slipped capital femoral epiphysis and pistol grip deformity of the femoral head-neck junction using the surgical dislocation technique. J Pediatr Orthop. 2006;26:281–285
  20. Beck M, Leunig M, Parvizi J, et al. Anterior femoroacetabular impingement: part II (Midterm results of surgical treatment). Clin Orthop Relat Res. 2004;418:67–73

PII: S1048-6666(09)00076-7

doi: 10.1053/j.oto.2009.03.004

Operative Techniques in Orthopaedics
Volume 19, Issue 1 , Pages 6-12 , January 2009

Article Tools

* Image Usage & Resolution