Editorial
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2016; 7(2): 78-81
Published online Feb 18, 2016. doi: 10.5312/wjo.v7.i2.78
Controversies in management of slipped capital femoral epiphysis
Ashok N Johari, Ritesh A Pandey
Ashok N Johari, Ritesh A Pandey, Children’s Orthopaedic Centre, Mumbai 400016, India
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest. No financial support.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ashok N Johari, Director, Children’s Orthopaedic Centre, 2nd Floor, Bobby Apartments, 143 L.J. Road, Mahim (West), Mumbai 400016, India. drashokjohari@hotmail.com
Telephone: +91-22-24365050
Received: May 29, 2015
Peer-review started: June 1, 2015
First decision: August 4, 2015
Revised: November 2, 2015
Accepted: November 24, 2015
Article in press: November 25, 2015
Published online: February 18, 2016
Processing time: 263 Days and 7.4 Hours
Abstract

The traditional treatment of the hip with a slip of the capital femoral epiphysis has been an in situ fixation using a single screw. This has the sanctity of a long term result. Recent literature stresses the outcomes of failure to restore the upper femoral alignment and on the basis of the poor results makes a plea for capital realignment. This being a recent development, it lacks the support of long term follow up and it remains to be seen if this is a better alternative of managing displaced and unstable slipped capital femoral epiphysis. The authors look at some of the available literature on the subject to highlight these controversies and their implications for orthopedic surgeons. Other controversies pertain to contralateral fixation, duration of immobilization and amount of weight bearing after an in situ fixation.

Keywords: Slipped capital femoral epiphysis; Fixation in situ; Femoral head realignment; Osteoplasty; Dunn osteotomy

Core tip: This article discusses the current controversies around the treatment of slipped capital femoral epiphysis (SCFE). Newer surgical techniques have brought with them controversies as to the best form of management of different types of SCFE. The authors highlight the current status of management in the light of publications on the above subject.