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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 12, 1669-1674.
doi: 10.1302/0301-620X.87B12.16665  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The management of avascular necrosis after slipped capital femoral epiphysis

M. M. Mullins, MA, FRCS (Orth), Specialist Registrar1; M. Sood, BSc, FRCS (Orth), Consultant Orthopaedic Surgeon2; A. Hashemi-Nejad, FRCS (Orth), Consultant Orthopaedic Surgeon3; and A. Catterall, MChir, FRCS (Orth), Consultant Orthopaedic Surgeon3

1 53 Rhyd-y-Defaid Drive, Derwen Fawr, Swansea SA2, 8AL, Wales.
2 Bedford Hospital, Kempston Road, Bedford MK42 9DJ, UK.
3 Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UK.

Correspondence should be sent to Mr M. M. Mullins; e-mail: mark{at}mullins71.fsnet.co.uk

Avascular necrosis is a serious complication of slipped capital femoral epiphysis and is difficult to treat. The reported incidence varies from 3% to 47% of patients. The aims of treatment are to maintain the range of movement of the hip and to prevent collapse of the femoral head. At present there are no clear guidelines for the management of this condition and treatment can be difficult and unrewarding.

We have used examination under anaesthesia and dynamic arthrography to investigate avascular necrosis and to determine the appropriate method of treatment. We present 20 consecutive cases of avascular necrosis in patients presenting with slipped capital femoral epiphysis and describe the results of treatment with a mean follow-up of over eight years (71 to 121 months). In patients who were suitable for joint preservation (14), we report a ten-year survivorship of the hip joint of 75% and a mean Harris hip score of 82 (44 to 98).




eLetters:

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The management of avascular necrosis after slipped capital femoral epiphysis
Skand Kumar, et al.
J Bone Joint Surg Br Online, 6 Mar 2006 [Full text]
The management of avascular necrosis after slipped capital femoral epiphysis
Mark M Mullins
J Bone Joint Surg Br Online, 6 Mar 2006 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General