Slipped capital femoral epiphysis. A study of 50 cases in black children.

Abstract:

:In 50 black children with 70 slipped capital femoral epiphyses, a satisfactory result was obtained in 87% of the hips. Chondrolysis developed in 6% of the hips, occurring only when there was persistent intraarticular protrusion of the transepiphyseal fixation device. The chondrolytic process resulted in a relatively painless fibrous ankylosis of each hip. Avascular necrosis developed in 7% of the hips, and occurred only in the presence of a valgus reduction of an acute slipped epiphysis. Each case of avascular necrosis was of the whole-head type and was severely progressive. Biplane subtrochanteric femoral osteotomy was employed as a reconstructive procedure in the severely-displaced slipped epiphysis; it was delayed until after epiphyseal plate closure, and restored satisfactory hip function in all cases. Black children are not predisposed to poor results after slipped capital femoral epiphysis contrary to a commonly held impression.

journal_name

Clin Orthop Relat Res

authors

Bishop JO,Oley TJ,Stephenson CT,Tullos HS

subject

Has Abstract

pub_date

1978-09-01 00:00:00

pages

93-6

issue

135

eissn

0009-921X

issn

1528-1132

pub_type

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