Abstract
Surgical hip dislocation for treatment of hip intra-articular pathology has been popularized by the Bernese group over the last few years. This approach provides excellent and safe exposure of the hip joint without compromising the femoral head blood supply. It is, however a very demanding approach and requires surgical experience and attention to detail.
Highlights
Slipped Upper Femoral Epiphysis (SUFE) affects about 1 in 100,000 children [1]
In situ pinning has been traditionally labelled as the gold standard for treatment of all cases regardless of the severity of the slip [2]
Bad results have been reported for severe slips and subsequent surgeries did not seem to resolve patients’ complains [3]
Summary
Slipped Upper Femoral Epiphysis (SUFE) affects about 1 in 100,000 children [1]. It is usually a disease of the adolescence but can affect younger children occasionally. Bad results have been reported for severe slips and subsequent surgeries did not seem to resolve patients’ complains [3]. Many of these patients continue to suffer and require arthroplasty at a very young age. In situ pinning is not necessarily an easy operation in severe slips and some complications have been reported such as chondrolysis, fractures, avascular necrosis etc. In situ pinning is not necessarily an easy operation in severe slips and some complications have been reported such as chondrolysis, fractures, avascular necrosis etc. in addition to the arguable remodeling potential of the proximal femur after slippage of the femoral head [2,4]
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