The diagnosis of slipping of the upper femoral epiphysis at an early stage, when the displacement is still minimal and not sufficient to cause any permanent functional impairment, permits an entirely different type of treatment from that which is necessary when serious deformity is present. Since early diagnosis depends chiefly upon the general practitioner, there is need of better instruction in the pathological and clinical appearances of this disease.
For epiphyseal slipping with minimal displacement the author advocates the insertion of a Smith-Petersen flanged nail under roentgenograpic control, without arthrotomy of the hip. The advantages of this method are security and fixation, hastening of epiphyseal fusion, freedom from immobilization, and simplicity of after-care. This operation has been performed in nine cases with excellent results in all. Significant-shortening of the extremity did not occur.
(C) 1938 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.