Abstract
T he surgical treatment for slipped capital femoral epiphysis (SCFE) treatment has evolved in important ways over the past 30 years. Before the advent of fluoroscopically controlled in-situ pinning, treatment methods such as open epiphysiodesis and spica cast application had been difficult and morbid. Indeed, in-situ pinning was a major advance that at once led to improved outcomes. However, in-situ treatment does not address any residual deformity in the proximal femur. It is now accepted that residual proximal femoral deformity does cause femoroacetabular impingement, which may lead to limited hip ROM, gait disturbance, and osteoarthritis. The problem that remains is how best to treat this residual deformity, when to treat it, and through which surgical technique. Where Do We Need To Go?
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