The Journal of Bone and Joint Surgery, Vol 60, Issue 2 157-165, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Complications after cuneiform osteotomy for moderately or severely slipped capital femoral epiphysis
JR Gage, AB Sundberg, DR Nolan, RG Sletten and RB Winter
Wedge osteotomy of the femoral neck for slipped capital femoral epiphysis
was performed in seventy-seven hips of seventy-one children at Gillette
Children's Hospital during the period 1938 to 1973. The major complications
were avascular necrosis (28.5 per cent) and cartilage necrosis (37.6 per
cent). This high incidence of severe complications led to the use of an
osteotomy through the base of the neck for the treatment of severely
slipped capital femoral epiphysis which has given satisfactory results in
six hips to date.