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  • Title: Adolescent slipped capital femoral epiphysis treated by a modified Dunn osteotomy with surgical hip dislocation.
    Author: Huber H, Dora C, Ramseier LE, Buck F, Dierauer S.
    Journal: J Bone Joint Surg Br; 2011 Jun; 93(6):833-8. PubMed ID: 21586786.
    Abstract:
    Between June 2001 and November 2008 a modified Dunn osteotomy with a surgical hip dislocation was performed in 30 hips in 28 patients with slipped capital femoral epiphysis. Complications and clinical and radiological outcomes after a mean follow-up of 3.8 years (1.0 to 8.5) were documented. Subjective outcome was assessed using the Harris hip score and the Western Ontario and McMaster Universities osteoarthritis index questionnaire. Anatomical or near-anatomical reduction was achieved in all cases. The epiphysis in one hip showed no perfusion intra-operatively and developed avascular necrosis. There was an excellent outcome in 28 hips. Failure of the implants with a need for revision surgery occurred in four hips. Anatomical reduction can be achieved by this technique, with a low risk of avascular necrosis. Cautious follow-up is necessary in order to avoid implant failure.
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