Open reduction of the severely slipped upper femoral epiphysis

Open reduction of the severely slipped upper femoral epiphysis.

The results of open reduction of the severely slipped upper femoral epiphysis are reported for 115 hips with an average follow-up of 12 years 11 months (range 2 to 33 years). In 70 hips with a chronic slip and an open growth plate the incidence of complications was low: two developed avascular necrosis, five chondrolysis, and one had both. There were more complications in the 38 hips with an ac...

Triplane osteotomy for severely slipped upper femoral epiphysis.

Intertrochanteric osteotomy gives compensatory correction for the severely slipped upper femoral epiphysis without endangering its blood supply. The results of thirty-five such osteotomies carried out over an eighteen-year period are reviewed. The indication for operation was a chronic slip of a third or more of the growth plate in the lateral radiograph. The mean age at operation was fourteen ...

Familial slipped upper femoral epiphysis.

The inheritance of slipped upper femoral epiphysis.

Two hundred and fourteen cases ofslipped upper femoral epiphysis were reviewed. Fourteen families provided more than one case, and in 23 other families the index case had one or more close relatives with osteoarthritis of the hip, six of whom had probably suffered from a slipped epiphysis. The mode of inheritance is discussed and is thought to be an autosomal dominant with variable penetrance i...

The Pathology of Slipped Upper Femoral Epiphysis

The weakest part ofthe epiphysial plate is the layer ofcartilage cells nearest the metaphysis. If the overlying periosteum is incised, a separation through this layer is easily produced (Haas 1917). Even if it is conceded, as shown experimentally by Harris (1950), that, in rats treated by growth hormone, broadening of this layer can diminish the cohesion of epiphysis and metaphysis, the resista...