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STUDY OF DISPLACED CAPITAL FEMORAL EPIPHYSES
MATHER CLEVELAND; DAVID M. BOSWORTH; JOHN N. DALY; WALLACE E. HESS
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Orthopaedic Service, St. Luke's Hospital, New York City; The House of St. Giles the Cripple, Brooklyn, New York
1951 by The American Orthopaedic Association
J Bone Joint Surg Am, 1951 Oct 01;33(4):955-967
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Abstract

1. An early diagnosis by means of biplane roentgenograms and prompt treatment when hip complaints exist in the adolescent may prevent serious disability from severely displaced capital femoral epiphyses.

2. In slipping of the capital femoral epiphysis, when the deformity is not too great, simple nailing without reduction secures the best results.

3. In cases with acute slipping in which there is a definite trauma to account for the condition, the outlook may be poor and a waiting period after reduction may be necessary before internal fixation is undertaken.

4. Wedge osteotomy of the femoral neck for the more severe displacements in slipped femoral epiphyses presents an excellent outlook if the wedge is removed from the neck entirely, while the head and epiphyseal plate are left intact and a portion of the neck remains attached to the plate.

5. Aseptic necrosis of the femoral head occurred about equally in the series treated conservatively and the series treated by operative methods.

6. The outlook for securing a good or excellent result is greatly improved by the use of internal fixation.

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    Topics

    epiphyses ; femur
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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