The management of severe avascular necrosis following slipped capital femoral epiphysis by transtrochanteric rotational osteotomy. Results of successful treatment in two cases with longterm follow-up.

We present two cases of unstable slipped capital femoral epiphysis complicated by avascular necrosis that were successfully treated with transtrochanteric anterior rotational osteotomy. These two cases both had severe avascular necrosis and were felt to be unsalvageable. We recommend this surgical technique as a viable alternative to other forms of treatment in this selected patient population.