Slipped upper femoral epiphysis - Report of 5 cases.:report of 5 cases
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There is little place for the conservative treatment of the slipped upper femoral epiphysis but the gidelines for the surgical treatment are divided on the issue because of high incidence of the serious complications.Our principle of the management for this condition is proposed based on the analysis of 5 cases.(1) 5 cases were treated by two stage procedure. At first pinning in situ was done for preventing further slipping and when the mobility of the hip joint was restricted secondary osteotomy was performed for improvement of the range of motion.(2) Southwick's subtrochanteric osteotomy is recommended for cases with slipping less than 50 degrees and Sugioka's anterior rotational osteotomy, for cases with slipping greater than 50 degrees.(3) Periodical follow-up is thought to be more reasonable than prophylactic pinning for asymptomatic opposite hip.
- 西日本整形・災害外科学会の論文
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