Replacement of the femoral head by open operation in severe adolescent slipping of the upper femoral epiphysis.

Bone growth after fixing slipped femoral epiphyses: brief report.

Early closure of the growth plate after fixing a slipped upper femoral epiphysis is often regarded as favourable since, if growth of the femoral neck continues, the metal may lose its grip on the epiphysis with the possibility of further slipping. However, in the young child early fusion may result in leg length discrepancy and limited motion. The hook-pin (Hansson 1982) permits continued growt...

Treatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique

Background: Femoral head avascular necrosis is the cause of paralyzing status of youth population. Initial diagnosisis the main element in treating the disease. Bone grafting and core decompression are the approved cures at the earlysteps of the disease. Hip replacement in a total manner is the common cure in the final stages. The optimal treatment inthe intermediate stages is...

The Treatment of Adolescent Slipping of the Upper Femoral Epiphysis.

The Pathology of Slipped Upper Femoral Epiphysis

The weakest part ofthe epiphysial plate is the layer ofcartilage cells nearest the metaphysis. If the overlying periosteum is incised, a separation through this layer is easily produced (Haas 1917). Even if it is conceded, as shown experimentally by Harris (1950), that, in rats treated by growth hormone, broadening of this layer can diminish the cohesion of epiphysis and metaphysis, the resista...

Long-term results after nailing in situ of slipped upper femoral epiphysis. A 30-year follow-up of 59 hips.

We reviewed the radiological and clinical long-term results after the nailing in situ of slipped upper femoral epiphysis in 59 hips in 43 patients. The displacement of the epiphysis had been measured as the 'slipping angle' before operation and related to the results at follow-up at a mean of 30.9 years (27 to 34). The mean age at follow-up was 44.2 years (39 to 50). Radiographic re-examination...