Classic approach to SCFE may fall short

By Peter Pollack

20-year follow-up finds FAI and poor hip scores common after in situ pinning

Slipped capital femoral epiphysis (SCFE) is often treated using in situ fixation with no attempt to reduce the slip. However, long-term follow-up shows that such an approach can result in clinical femoroacetabular impingement (FAI) in nearly one third of hips, leading to a large number of patients with poor function at a relatively young age, according to “Femoroacetabular impingement at 20 years follow-up of in-situ fixation for slipped capital femoral epiphysis,” a paper presented by Daniel J. Sucato, MD, MS, at the 2010 AAOS Annual Meeting.

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