{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:42:53Z","timestamp":1760132573592},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>The aim of the study is to assess the safety and efficacy of Imh\u00e4user osteotomy combined with osteochondroplasty in the treatment of moderate-severe stable slipped capital femoral epiphysis (SCFE) on short-term basis. Nineteen patients (20 hips) with moderate-severe stable SCFE were surgically treated by Imh\u00e4user osteotomy combined with osteochondroplasty and followed up for 3\u20134 years. The cases aged between 12 and 18 years at the time of surgery and complained of a variety of symptoms and signs that included pain, limping, limited range of motion (ROM), and\/or abductor weakness. The outcomes were assessed using clinical and radiological parameters as well as functional outcome measures: \u201cHarris hip score\u201d (HHS) and \u201cThe Western Ontario and McMaster Universities Osteoarthritis Index\u201d (WOMAC). There were statistically significant improvements in flexion, internal rotation, and abduction ROM. HHS and WOMAC improved significantly with final follow-up scores at 86.76 and 6.4%, respectively. The radiological parameters showed significant improvement regarding Southwick angle (mean 12.8\u00b0), alpha angle of N\u00f6tzli (mean 29.85\u00b0), Hilgenreiner epiphyseal angle (mean 37.65\u00b0), neck shaft angle (mean 140.63\u00b0), and acetabulo-trochanteric distance (median14.1\u2009mm) at the end of follow-up period. Imh\u00e4user osteotomy combined with osteochondroplasty is a good option in moderate-severe stable SCFE treatment.<\/jats:p>","DOI":"10.1097\/bpb.0000000000000683","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T05:00:36Z","timestamp":1571979636000},"page":"283-291","source":"Crossref","is-referenced-by-count":7,"title":["Intertrochanteric Imh\u00e4user osteotomy combined with osteochondroplasty in treatment of moderate-severe stable slipped capital femoral epiphysis: a case series study"],"prefix":"10.1097","volume":"29","author":[{"given":"Tarek Hassan","family":"Abdelaziz","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University Hospitals, Abbasiya sq., Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shady Samir","family":"Elbeshry","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University Hospitals, Abbasiya sq., Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman Hussein","family":"Goda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University Hospitals, Abbasiya sq., Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer A.","family":"Fayyad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University Hospitals, Abbasiya sq., Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Saeed","family":"Aly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University Hospitals, Abbasiya sq., Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shady Abdulghaffar","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University Hospitals, Abbasiya sq., Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1097\/01.bpo.0000217718.10728.70","article-title":"The epidemiology of slipped capital femoral epiphysis: an update.","volume":"26","author":"Lehmann","year":"2006","journal-title":"J Pediatr Orthop"},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.2106\/00004623-199308000-00003","article-title":"The epidemiology of bilateral slipped capital femoral epiphysis. A study of children in Michigan.","volume":"75","author":"Loder","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.2106\/00004623-199308000-00002","article-title":"Acute slipped capital femoral epiphysis: the importance of physeal stability.","volume":"75","author":"Loder","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.2106\/00004623-197355060-00009","article-title":"Compression fixation after biplane intertrochanteric osteotomy for slipped capital femoral epiphysis. A technical improvement.","volume":"55","author":"Southwick","year":"1973","journal-title":"J Bone Joint Surg Am"},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1007\/s11999-008-0687-4","article-title":"Capital realignment for moderate and severe SCFE using a modified Dunn procedure.","volume":"467","author":"Ziebarth","year":"2009","journal-title":"Clin Orthop Relat Res"},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1007\/s00064-007-1212-8","article-title":"Corrective Imh\u00e4user intertrochanteric osteotomy.","volume":"19","author":"Schai","year":"2007","journal-title":"Oper Orthop Traumatol"},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1302\/0301-620X.83B8.0831119","article-title":"Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis.","volume":"83","author":"Ganz","year":"2001","journal-title":"J Bone Joint Surg Br"},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1302\/0301-620X.95B3.30113","article-title":"The treatment of severe slipped capital femoral epiphysis via the ganz surgical dislocation and anatomical reduction: a prospective study.","volume":"95-B","author":"Madan","year":"2013","journal-title":"Bone Joint J"},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"585","DOI":"10.2106\/JBJS.L.00203","article-title":"The modified Dunn procedure for unstable slipped capital femoral epiphysis: a multicenter perspective.","volume":"95","author":"Sankar","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.2106\/JBJS.I.01385","article-title":"Treatment of slipped capital femoral epiphysis with a modified Dunn procedure.","volume":"92","author":"Slongo","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.1302\/0301-620X.97B12.35259","article-title":"Outcomes following subcapital osteotomy for severe slipped upper femoral epiphysis.","volume":"97-B","author":"Vanhegan","year":"2015","journal-title":"Bone Joint J"},{"issue":"Suppl 1","key":"R12-20230828","doi-asserted-by":"crossref","first-page":"S18","DOI":"10.1097\/BPO.0000000000000297","article-title":"High-grade SCFE: the role of surgical hip dislocation and reduction.","volume":"34","author":"Sucato","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1097\/01241398-200011000-00010","article-title":"Long-term follow-up study after corrective Imh\u00e4user osteotomy for severe slipped capital femoral epiphysis.","volume":"20","author":"Kartenbender","year":"2000","journal-title":"J Pediatr Orthop"},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.1007\/s11999-013-2817-x","article-title":"Postoperative improvement of femoroacetabular impingement after intertrochanteric flexion osteotomy for SCFE.","volume":"471","author":"Saisu","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"R15-20230828","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1097\/BPO.0000000000000695","article-title":"Long-term results of combined epiphysiodesis and imhauser intertrochanteric osteotomy in SCFE: a retrospective study on 53 hips.","volume":"37","author":"Trisolino","year":"2017","journal-title":"J Pediatr Orthop"},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1302\/0301-620X.96B8.33927","article-title":"A modified Imh\u00e4user osteotomy: an assessment of the addition of an open femoral neck osteoplasty.","volume":"96-B","author":"Bali","year":"2014","journal-title":"Bone Joint J"},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.2214\/AJR.06.0921","article-title":"Femoroacetabular impingement: radiographic diagnosis\u2013what the radiologist should know.","volume":"188","author":"Tannast","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"R19-20230828","doi-asserted-by":"crossref","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","article-title":"Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation.","volume":"51","author":"Harris","year":"1969","journal-title":"J Bone Joint Surg Am"},{"key":"R20-20230828","first-page":"1833","article-title":"Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee.","volume":"15","author":"Bellamy","year":"1988","journal-title":"J Rheumatol"},{"key":"R21-20230828","first-page":"787","article-title":"Fractures of the neck of the femur.","volume":"10","author":"Watson-Jones","year":"1938","journal-title":"Br J Surg"},{"key":"R22-20230828","first-page":"71","article-title":"Treatment of slipped capital femoral epiphysis with the modified Dunn procedure: a Multicenter study.","volume":"39","author":"Javier","year":"2017","journal-title":"J Pediatr Orthop"},{"key":"R23-20230828","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1302\/0301-620X.93B6.25849","article-title":"Adolescent slipped capital femoral epiphysis treated by a modified Dunn osteotomy with surgical hip dislocation.","volume":"93","author":"Huber","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"R24-20230828","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1097\/BPO.0000000000000161","article-title":"Complications after modified Dunn osteotomy for the treatment of adolescent slipped capital femoral epiphysis.","volume":"34","author":"Upasani","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"R25-20230828","first-page":"1","article-title":"Comparison of surgical outcomes between a triplane proximal femoral osteotomy and the modified Dunn procedure for stable, moderate to severe slipped capital femoral epiphysis.","author":"Sikora-Klak","year":"2017","journal-title":"J Pediatr Orthop"},{"key":"R26-20230828","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1007\/s00132-012-1940-9","article-title":"Long-term results of Imh\u00e4user osteotomy for chronic slipped femoral head epiphysiolysis [in German].","volume":"41","author":"Fujak","year":"2012","journal-title":"Orthopade"},{"key":"R27-20230828","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/01.bpo.0000217726.16417.74","article-title":"Early results of treatment of hip impingement syndrome in slipped capital femoral epiphysis and pistol grip deformity of the femoral head-neck junction using the surgical dislocation technique.","volume":"26","author":"Spencer","year":"2006","journal-title":"J Pediatr Orthop"},{"key":"R28-20230828","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s11999-008-0591-y","article-title":"Surgical dislocation in the management of pediatric and adolescent hip deformity.","volume":"467","author":"Rebello","year":"2009","journal-title":"Clin Orthop Relat Res"},{"key":"R29-20230828","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1302\/1863-2548.11.160259","article-title":"Treatment of chronic, stable slipped capital femoral epiphysis via surgical hip dislocation with combined osteochondroplasty and imhauser osteotomy.","volume":"11","author":"Erickson","year":"2017","journal-title":"J Child Orthop"}],"container-title":["Journal of Pediatric Orthopaedics B"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BPB.0000000000000683","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T20:05:05Z","timestamp":1693253105000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BPB.0000000000000683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/bpb.0000000000000683","relation":{},"ISSN":["1060-152X"],"issn-type":[{"value":"1060-152X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}