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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

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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
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
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:
DateEvent
February 2018Published
31 May 2016Available
13 April 2016Accepted
3 March 2016Submitted
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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