Complications Related to the Treatment of Slipped Capital Femoral Epiphysis

The Orthopedic Clinics of North America
John Roaten, David D Spence

Abstract

Slipped capital femoral epiphysis (SCFE) is a condition of the immature hip in which mechanical overload of the proximal femoral physis results in anterior and superior displacement of the femoral metaphysis relative to the epiphysis. The treatment of SCFE is surgical, as the natural history of nonsurgical treatment is slip progression and early arthritis. Despite advances in treatment, much controversy exists regarding the best treatment, and complication rates remain high. Complications include osteonecrosis, chondrolysis, SCFE-induced impingement, and related articular degeneration, fixation failure and deformity progression, growth disturbance of the proximal femur, and development of bilateral disease.

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Citations

Jun 8, 2018·Journal of Pediatric Orthopedics. Part B·Junting ZangMasashi Takaso
Nov 21, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Balasubramanian Balakumar, Sanjeev Madan
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Mar 2, 2021·Journal of Children's Orthopaedics·Javier BesomiClaudio Meneses
Nov 21, 2018·The Journal of Pediatrics·Mason UvodichAlec Hermanson
Jul 31, 2021·JBJS Case Connector·Matthew RosenKristin Harmon
Dec 16, 2021·JBJS Case Connector·Sarah Toner LeveySara Van Nortwick

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