Chronic type III unstable slipped capital epiphysis and its management: A study

Abstract

An unusual condition of the hip joint seen in the children between ten to sixteen years of age group is slipped capital femoral epiphyses. Chronic unstable type III is rareone. The management is usually in-situ fixation. Here we studied three cases between June 2008 to April 2013 in our institution by managing the slip by closed reduction and internal fixation using single cannulated cancellous screw. The follow up,done at one, three, six, twelve and twenty-four months for clinical and radiological evaluation. And at the end of two years we observed complete healing of the slip without any complications like avascular necrosis and or chondrolysis. All the patients evaluated using modified Harris hip score and all were in excellent outcome. We conclude that chronic unstable type III slips can be managed by closed reduction and internal fixation using single cannulated cancellous screw. According to the Harris hip score we achieved excellent results. With, scores of 95, 97 and 97 in our study. Our study is statistically significant. The p value is 0.015 by chai squire test and it is statistically significant.