[Treatment of slipped capital femoral epiphysis with one-time head-neck transfixation and subtrochanteric corrective osteotomy].

Results of treatment for slipped capital epiphysis with one-time head-neck transfiction and subtrochanteric corrective osteotomy in 21 patients (21 hips) operated at Institute of Orthopaedics and Rehabilitation in Poznań between 1973 and 1991 have been presented. Indication for this type of operation was acute-on-chronic slip and magnitude of epiphyseal slip not less than 1/3 of neck width. The follow-up ranged from 4 to 21 years (mean 11y). Using Hall and Southwick criteria modified by Szypryt results in 7 cases were rated excellent, good in 10, fair in 1 and poor in 3 cases. Radiologically 3 cases were excellent, 6 were good, 7 fair and 5 cases were rated poor. Aseptic necrosis of the femoral head occurred in 1 case, chondrolysis in 2 and superficial infection in 1 case. The method proved to be safe in treatment for slipped capital femoral epiphysis.