Slipped capital femoral epiphysis: current management strategies.

Dunn procedure avascular necrosis femoral osteotomy pinning in situ slipped capital femoral epiphysis surgical hip dislocation

Journal

Orthopedic research and reviews
ISSN: 1179-1462
Titre abrégé: Orthop Res Rev
Pays: New Zealand
ID NLM: 101531415

Informations de publication

Date de publication:
2019
Historique:
entrez: 2 5 2019
pubmed: 2 5 2019
medline: 2 5 2019
Statut: epublish

Résumé

In orthopedic literature, there is little consensus regarding the best management of slipped capital femoral epiphysis (SCFE). Controversies and disparate trends derive from differences in clinical presentation, various classifications, and a variety of surgical procedures that have been described. Currently, there are no evidence-based recommendations. Surgical procedures vary, and they can be divided into fixation in situ, compensatory osteotomies, and direct corrections of the deformity at the head-neck junction. The first and second group of procedures have so far not gained optimal control over the risk of avascular necrosis or cannot achieve an anatomically aligned epiphysis with normal blood supply. On the other hand, the third technique can achieve this target and prevent residual deformity and the development of early hip arthritis, but it is not widely accepted, because of its surgical complexity. The purpose of this work is to present an overview of current knowledge and provide an orientation on clinical and surgical management of the patient suffering from SCFE.

Identifiants

pubmed: 31040725
doi: 10.2147/ORR.S166735
pii: orr-11-047
pmc: PMC6460813
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

47-54

Déclaration de conflit d'intérêts

Disclosure The authors report no conflicts of interest in this work.

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Auteurs

Alessandro Aprato (A)

Department of Orthopaedics and Traumatology, AOU Città della Salute e della Scienza di Torino - Ospedale CTO, Torino, Italy, ale_aprato@hotmail.com.

Andrea Conti (A)

Department of Orthopaedic and Traumatology, University of Torino, Torino, Italy.

Federico Bertolo (F)

Department of Orthopaedic and Traumatology, University of Torino, Torino, Italy.

Alessandro Massè (A)

Department of Orthopaedic and Traumatology, University of Torino, Torino, Italy.

Classifications MeSH