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Combined Osteotomy and Osteoplasty for Healed Slipped Capital Femoral Epiphysis (SCFE) Deformity

  • Neil Saran
Chapter

Abstract

Healed deformity of slipped capital femoral epiphysis (SCFE) is known to be associated with acetabular labral and chondral pathology that results in early osteoarthritis of the hip. Furthermore, the metaphyseal bump in addition to proximal femoral anatomy can cause alterations in range of motion of the hip that precludes participation in various activities including some activities of daily living. While mild slips can be treated effectively with a femoral head-neck junction reshaping, moderate to severe deformities require treatment of both the metaphyseal bump (cam lesion) and a proximal femoral intertrochanteric/subtrochanteric osteotomy to further eliminate femoroacetabular impingement and provide a more functional range of motion.

Keywords

Osteoplasty Slipped capital femoral epiphysis Cam lesion Impingement Femoral osteotomy Surgical hip dislocation 

Reference

  1. 1.
    Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83(8):1119–24.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryShriners Hospital for Children CanadaMontrealCanada
  2. 2.Department of Paediatric SurgeryThe Montreal Children’s HospitalMontrealCanada
  3. 3.Division of Orthopaedic SurgeryDepartment of Surgery McGill UniversityMontrealCanada

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