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Strategies to Avoid Osteonecrosis in Unstable Slipped Capital Femoral Epiphysis

A Critical Analysis Review

Daley, Erika, MD1; Zaltz, Ira, MD1

doi: 10.2106/JBJS.RVW.18.00129
Review Articles with Critical Analysis Component

  • » Osteonecrosis of the femoral epiphysis following slipped capital femoral epiphysis (SCFE) causes substantial patient morbidity.
  • » The etiology of osteonecrosis following SCFE is multifactorial, and multiple treatment strategies, including techniques of epiphyseal reduction, capsulotomy, and timing of surgical intervention, that are intended to reduce this risk have been utilized.
  • » At the present time, because of conflicting data and the lack of high-level evidence, there are a paucity of data to determine the role that these techniques play in reducing the risk of osteonecrosis.
  • » Further scientific research is needed to understand the etiology of osteonecrosis following SCFE.

1Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan

E-mail address for I. Zaltz:

Investigation performed at the Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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