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Evidence based treatment for unstable slipped upper femoral epiphysis : systematic review and exploratory patient level analysis
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Alshryda, S., Tsang, K., Chytas, A., Chaudhry, M., Sacchi, K., Ahmad, M. and Mason, James (2018) Evidence based treatment for unstable slipped upper femoral epiphysis : systematic review and exploratory patient level analysis. The Surgeon, 16 (1). pp. 46-54. doi:10.1016/j.surge.2016.04.001
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Official URL: http://dx.doi.org/10.1016/j.surge.2016.04.001
Abstract
The management of slipped upper femoral epiphysis is controversial and evolving as insight into the condition develops. Loder introduced the concept of slip stability and demonstrated a strong association between poor outcome and instability. Almost half of patients with unstable slip developed femoral head osteonecrosis. This has been influential in surgeons' choice of treatments. Some surgeons have adopted a minimal intervention approach such as pinning in situ or gentle reduction and pinning whereas others advocated an urgent open reduction and stabilisation of slip using various surgical techniques. In this review we analysed the influence of various interventions, timing of surgery and severity of the slip on the outcome of unstable slip.
| Item Type: | Journal Article | ||||||||||
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| Subjects: | R Medicine > RD Surgery | ||||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Femur -- Epiphysis -- Treatment , Hip joint -- Abnormalities, Teenagers -- Health aspects | ||||||||||
| Journal or Publication Title: | The Surgeon | ||||||||||
| Publisher: | Elsevier Ltd | ||||||||||
| ISSN: | 1479-666X | ||||||||||
| Official Date: | February 2018 | ||||||||||
| Dates: |
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| Date of first compliant deposit: | 24 August 2016 | ||||||||||
| Volume: | 16 | ||||||||||
| Number: | 1 | ||||||||||
| Page Range: | pp. 46-54 | ||||||||||
| DOI: | 10.1016/j.surge.2016.04.001 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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