Operative Therapy for Slipped Upper Femoral Epiphysis

Trapezoid osteotomy for slipped capital femoral epiphysis

“…Comparing this study to those of the literature that obtained positive results, the data are similar [3,7,13,22,23,34,35]. Szypryt [30] performed Dunn's osteotomy in 23 severe patients and 77.3% were excellent, 4.5% were fair and 18.2% poor.…”

Slipped Upper Femoral Epiphysis

“…1977;Nguyen and Morrisy 1990, Carney and Weinstein 1991, Aronson and Carlson 1992, Spero et al 1992 feel that it should be applied to all cases. Walters and Simon (1980) (Elmslie 1933;Badgley 1948;Dunn and Angel 1978;Fish 1984). Their argument is supported in the studies by Murray (1971), Stulberg (1975) and Solomon (1976) which ascribe the deformities seen in primary osteoarthritis as being secondary to unrecognised SUFE or Perthe's disease in childhood.…”

Slipped Upper Femoral Epiphysis

“…The radiographs show signs of chronicity when the history is longer than 3 weeks (ie: resorption of bone at the antero-superior aspect of the neck and new bone formation at the postero-inferior aspect; Key 1926 1977;Nguyen and Morrisy 1990, Carney and Weinstein 1991, Aronson and Carlson 1992, Spero et al 1992 feel that it should be applied to all cases. Walters and Simon (1980) drew attention to unrecognised pin penetration and its association with chondrolysis and concern has also been voiced about the risk of avascular necrosis following penetration of the posterior aspect of the neck (Broughton, Todd, Dunn and Angel 1988 (Elmslie 1933;Badgley 1948;Dunn and Angel 1978;Fish 1984). Their argument is supported in the studies by Murray (1971), Stulberg (1975 and Solomon (1976) which ascribe the deformities seen in primary osteoarthritis as being secondary to unrecognised SUFE or Perthe's disease in childhood.…”