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

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.