ArticleJournal of clinical orthopaedics and trauma2026
Direct anterior approach for open correction of Slipped Capital Femoral Epiphysiolysis: surgical technique and clinical outcome.
Article in Journal of clinical orthopaedics and trauma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Slipped Capital Femoral Epiphysis (SCFE) is an idiopathic hip disorder in adolescents. With or without surgery, avascular necrosis (AVN) is the most dangerous complication. For open reduction and internal fixation, the modified Dunn procedure is considered the gold standard. This study presents an open epiphyseal realignment through the Hueter-interval and reports on (1) surgical technique of direct anterior approach (DAA) based surgical realignment, (2) radiographic correction of biomechanics, and (3) AVN-incidence after surgery. Methods: A single-center retrospective case series was conducted including all patients who underwent open realignment for SCFE via the direct anterior approach between January 2014 and January 2025. Pre- and postoperative Southwick and alpha angles were measured by two independent observers. Complications, including avascular necrosis, chondrolysis, and degenerative changes, were assessed at final follow-up. Descriptive statistics were used. Interobserver agreement of radiographic measurements was assessed using the intraclass correlation coefficient (ICC). Results: Twelve patients (13 hips; 9 boys and 3 girls) were included. Median age and BMI were respectively 12.9 years old (IQR 12.2-13.7) and 23.1 kg/m Conclusion: The DAA described in this series, can be considered a reproducible technique for an open realignment of displaced SCFE. None of the cases had an AVN and the approach does not appear to limit correction potential. Level of evidence: Level 4 Therapeutic study.
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