Surgical Management of Healed Slipped Capital Femoral Epiphysis

@article{Kuzyk2011SurgicalMO,
  title={Surgical Management of Healed Slipped Capital Femoral Epiphysis},
  author={Paul R T Kuzyk and Young-Jo Kim and Michael B. Millis},
  journal={American Academy of Orthopaedic Surgeon},
  year={2011},
  volume={19},
  pages={667–677}
}
&NA; Slipped capital femoral epiphysis (SCFE) results in posterior and inferior displacement of the epiphysis on the femoral neck. In most centers, the recommended initial management of stable SCFE is in situ pinning. Minimal reduction with in situ pinning is recommended for unstable SCFE. This approach does not restore the normal anatomy of the hip joint, and the resulting proximal femoral deformity may cause femoroacetabular impingement. Patients with femoroacetabular impingement experience… Expand
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TLDR
Peri-acetabular osteotomy has been successfully used to treat FAI caused by acetabular over-coverage, and should be considered for patients with symptoms due to a deformity of the hip secondary to SCFE. Expand
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A combined approach involving surgical hip dislocation with open osteoplasty followed by an intertrochanteric osteotomy is described, which addresses both aspects of the proximal femoral deformity associated with SCFE and is an optimal approach for correcting severe deformities. Expand
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TLDR
A combined approach involving surgical hip dislocation with open osteoplasty followed by an intertrochanteric osteotomy is described, which addresses both aspects of the proximal femoral deformity associated with SCFE and is an optimal approach for correcting severe deformities. Expand
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TLDR
Enhanced understanding of the implications of femoroacetabular impingement and new surgical techniques have prompted interest in treating post-slipped capital femoral epiphysis deformity to both improve current symptoms and delay or prevent hip arthrosis. Expand
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TLDR
The purpose of this manuscript is to review the current treatment options and to address the need for open treatments in unstable slipped capital femoral epiphysis. Expand
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TLDR
Subcapital osteotomy for patients with a healed SCFE is more challenging than subcapital re-orientation in those with an acute or sub-acute SCFE and an open physis, however, an effective correction of the deformity can be achieved with relief of symptoms related to impingement. Expand
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TLDR
The latest diagnostic and treatment modalities for SCFE are presented and the role of femoroacetabular impingement with SCFE is discussed. Expand
Proximal Femoral Osteotomy in Hip Preservation
TLDR
The indications for proximal femoral osteotomy performed either alone or in combination with other procedures for preservation of the mature hip are discussed in this chapter. Expand
Vascular Supply to the Femoral Head in Patients With Healed Slipped Capital Femoral Epiphysis.
TLDR
In healed SCFE, the lateral epiphyseal vessels reliably insert in the same anatomic region as patients with hip dysplasia; however, the overall number of vessels is significantly lower. Expand
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TLDR
Increasing the awareness about SCFE is paramount to allow for early recognition and treatment of deformity at its early stages and avoiding severe SCFE deformity which has been associated with worse long-term outcomes. Expand
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