Joint instability after anatomic reconstruction of severe, chronic slipped capital femoral epiphysis a report of 3 cases, with high femoral anteversion in 1 and adaptive acetabular roof deformation in 3

Reinhold Ganz, Alessandro Aprato, Giuseppe Mazziotta, Giovanni Pignatti

Research output: Contribution to journalArticlepeer-review

Abstract

Cases: Joint instability after slipped capital femoral epiphysis (SCFE) reorientation through the physis has been attributed to a combination of capsulotomy and chondrolabral rim damage. We report on 3 hips with severe SCFE with closed physes, in which anatomic correction with femoral neck osteotomy led to joint instability. All 3 had acetabular roof flattening; 1 showed slight additional acetabular retroversion but also increased femoral anteversion. Conclusion: We speculate that the slight roof flattening in all 3 cases and/or the high femoral anteversion in 1 case had contributed to joint instability. Femoral derotation osteotomy was performed in 1 and periacetabular osteotomy was performed in 2 for joint restabilization.

Original languageEnglish
Article numbere50
JournalJBJS Case Connector
Volume6
Issue number2
DOIs
Publication statusPublished - 2016

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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