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

The timing of reduction and stabilisation of the acute, unstable, slipped upper femoral epiphysis
The timing of reduction and stabilisation of the acute, unstable, slipped upper femoral epiphysis
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.
0301-620X
1046-1049
Phillips, S. A.
775860f7-2884-4cb6-acaf-a55069e87e03
Griffiths, W. E. G.
1307dc2c-ba11-4670-9005-771782c5d318
Clarke, N. M. P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Phillips, S. A.
775860f7-2884-4cb6-acaf-a55069e87e03
Griffiths, W. E. G.
1307dc2c-ba11-4670-9005-771782c5d318
Clarke, N. M. P.
76688c21-d51e-48fa-a84d-deec66baf8ac

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), 1046-1049. (doi:10.1302/0301-620X.83B7.11640). (PMID:11603521)

Record type: Article

Abstract

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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Published date: September 2001

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

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Date deposited: 14 Jun 2011 11:55
Last modified: 14 Mar 2024 03:39

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

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