Firoz A. Khan
Department of Orthopaedic, Surgery, Faculty of Medicine, University of Garyounis, Benghazi, S.P.L.A.J.
Garyounis Medical Journal Vol. 6, No.1. January 1983:63-68
The problem of slipped capital femoral epiphysis with severe displacement has been presented. A prospective study of these cases was performed in the year 1979 to May 1982. Patients presented with a chronic slip of one third or more, were treated by replacement of the femoral head by open operation (Dennis Dunn procedure).
All the cases in this series were Libyan and our results have shown that the evidence of avascular necrosis in Libyan patients was not much different as reported for European patients.
By proper selection of the cases and a good operative technique, the author feels that open operative correction of the slipped femoral epiphysis gives the best chances for good function of the hip joint.
In this series, two cases presented with an acute slip which were treated by manipulation under anaesthesia. This method was found to be relatively safe and effective in patients seen soon after an acute episode and should be reserved for such cases.
Eight cases of slipped capital epiphysis have been presented and the English literature on the subject has been briefly reviewed.
Keywords: A Prospective Study of the Slipped Capital Femoral Epiphysis with severe Displacement