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Journal Contents   |    
Acute Slipped Capital Femoral Epiphysis REVIEW OF THE LITERATURE AND REPORT OF TEN CASES
JOHN J. FAHEY; EUGENE T. O'BRIEN
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1791 West Howard Street, Chicago 26, Illinois 572 F Street, Salt Lake City, Utah
1965 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1965 Sep 01;47(6):1105-1122
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Abstract

1. Ten patients with acute slipped capital femoral epiphysis were treated by early gentle manipulation under general anesthesia and followed from two to twentyfour years, or for an average of eleven years. Good results were obtained in all of the nine patients in whom reduction was maintained by two or three partially threaded pins. In the only patient in whom immobilization in a plaster spica was used, there was moderate flattening and cystic change in the lateral portion of the head twenty-four years after reduction, but the functional result was satisfactory.

2. Reduction by early gentle manipulation and extra-articular fixation with two or three partially threaded pins is the preferred method of treatment in acute slipped capital femoral epiphysis.

3. Acute slipping may occasionally be present in the absence of a history of precipitating injury.

4. In the absence of roentgenographic evidence of narrowing of the articularcartilage space, avascular necrosis, or marginal proliferative changes on the femoral head two or three years after operation, a long-term favorable outcome can be anticipated.

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    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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