Arthroplasty in Patients with Sequelae of SCFE

Hip resurfacing, THA are options in select patients

Maureen Leahy

Most patients with slipped capital femoral epiphysis (SCFE) do well after treatments such as pelvic osteotomies or in situ pinning. A small group, however, may continue to experience joint pain and eventually require additional surgical treatment to manage end-stage hip arthritis, osteonecrosis, or chondrolysis, said Rafael J. Sierra, MD, during the Pediatric Orthopaedic Society of North America 2012 Specialty Day.“In the SCFE patient, the need for subsequent surgery may increase with age and, eventually, if the patient lives long enough, some form of arthroplasty—either hip resurfacing or total hip arthroplasty (THA)—may be needed,” he said.

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