Individual research recommendation details

Recommendation ID

IPG511/1

Question

Further research into open reduction of slipped capital femoral epiphysis should clearly describe details of clinical presentation (for example, Loder classification), the degree of slip, its stability, and the surgical technique used; including whether surgical dislocation of the hip was done. Outcomes from 2 years onwards should include degree of correction, occurrence of avascular necrosis and need for subsequent hip surgery (and its timing).

Any explanatory notes
(if applicable)

The evidence on efficacy of open reduction of slipped capital femoral epiphysis is adequate. With regard to safety, there is a risk of avascular necrosis. Therefore this procedure should only be used with special arrangements for clinical governance, consent and audit or research.

Source guidance details

Comes from guidance

Open reduction of slipped capital femoral epiphysis

Number

IPG511

Date issued

January 2015

Other details