This review highlights current trends and challenges in the management of slipped capital femoral epiphysis, noting that an optimal treatment to prevent residual deformity and early osteoarthritis remains elusive.
Clinicians should weigh fixation options cautiously in slipped capital femoral epiphysis; leaves open need for prospective trials to identify optimal modality.
Slipped capital femoral epiphysis (SCFE) is a common hip condition that can be disabling. In this review, we provide an orientation on current trends in the clinical management of SCFE including conventional procedures and specialised surgical developments. Different methods of fixation of the epiphysis, risks of complications, and the rationale of addressing deformity, primarily or secondarily, are presented. Although improved understanding of the anatomy, vascularity and implications of residual deformity have changed management strategies, the best modality of treatment that would restore complete vascularity to the femoral head and prevent any residual deformity, impingement and early osteoarthritis remains elusive.
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Bittersohl et al. (2014) studied this question.
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