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KMID : 0386720050170040211
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Journal of the Korean Hip Society
2005 Volume.17 No. 4 p.211 ~ p.216
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The Surgical Treatment of Slipped Capital Femoral Epiphysis
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Jung Sung-Taek
Lee Keun-Bae
Park Yu-Bok
Seo Hyoung-Yeon
Choi Jin
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Abstract
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Purpose: To evaluate the clinical results and complications of surgical treatment in slipped capital femoral
epiphysis.
Materials and Methods: We report on 18 patients (22 hips) with slipped capital femoral epiphysis who were
treated by surgical methods. There were 13 males and 5 females. The mean age at the time of surgery was 14.2 years.
Nine cases were treated by in situ screw fixation; 6 by closed reduction and screw fixation, 4 by open reduction and
screw fixation, and 3 by osteotomy of proximal femur and plate fixation. Two-screw fixation was performed in 11
cases, three-screw fixation in 4, and single screw fixation in 4.
Results: In functional results, there were 12 excellent cases, 6 good, 2 fair, and 2 poor. As for complications,
avascular necrosis developed in 3 cases (by forceful open reduction and two-screw fixation in 2 cases, and by in situ
fixation at chronic, severe degree in 1 case), chondrolysis in 1 case (one of three screws protruded out of the femoral
head), and genu valgum deformity in 1 case.
Conclusion: To minimize complications in the treatment of slipped capital femoral epiphysis, it is important to
avoid forceful reduction, and to use in situ single screw fixation.
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KEYWORD
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Slipped capital femoral epiphysis, Surgical treatment
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