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The timing of reduction and stabilisation of the acute, unstable, slipped upper femoral epiphysis

Record type: Article

We reviewed the management of 100 cases of
slipped upper femoral epiphysis treated over a
period of 26 years. A total of 14 slips was identified as
unstable on admission. These underwent reduction
and stabilisation within 24 hours of the onset of severe
symptoms. Of the 86 stable slips four progressed to
avascular necrosis (AVN), which was not seen in the
unstable slips. The literature on slipped upper femoral
epiphysis suggests that the acute unstable slip is at
higher risk of developing AVN. We recommend
reduction and stabilisation of unstable slips within 24
hours of the onset of symptoms in order to reduce the
risk of AVN.

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Citation

Phillips, S. A., Griffiths, W. E. G. and Clarke, N. M. P. (2001) The timing of reduction and stabilisation of the acute, unstable, slipped upper femoral epiphysis Journal of Bone and Joint Surgery, British Volume, 83-B, (7), pp. 1046-1049. (PMID:11603521).

More information

Published date: September 2001

Identifiers

Local EPrints ID: 190485
URI: http://eprints.soton.ac.uk/id/eprint/190485
ISSN: 0301-620X
PURE UUID: cbfe79cb-affb-4311-bd75-927b762c071d

Catalogue record

Date deposited: 14 Jun 2011 11:55
Last modified: 18 Jul 2017 11:38

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Contributors

Author: S. A. Phillips
Author: W. E. G. Griffiths
Author: N. M. P. Clarke

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