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Subtrochanteric valgus, extension, and external rotational osteotomy
1%
31/3443
Non weight bearing on the left side for 6 weeks.
2%
58/3443
Bilateral in situ single screw insertion across the proximal femoral physis
9%
298/3443
In situ single screw insertion across the left proximal femoral physis only
87%
3006/3443
Varus derotational osteotomy of the proximal femur
34/3443
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Acute or acute on chronic slipped capital femoral epiphysis (SCFE) can be adequately stabilized with a single percutaneous screw fixation across the proximal femoral physis. Goodman et al retrospectively demonstrated that in situ, single screw fixation across the proximal femoral physis in patients with acute or acute on chronic SCFE, was sufficient to allow closure of the physis with no change in head-shaft angles from the preoperative radiographs. Morrissy in an instructional course lecture, illustrates the principles of in situ fixation in chronic SCFE. Pinning of the contralateral physis should strongly be considered for boys under 12 and girls under 10, the presence of an open triradiate cartilage, or evidence of an endocrinopathy.
3.3
(31)
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