{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:48:16Z","timestamp":1791528496171,"version":"4.3.4"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009169","name":"Assiut University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009169","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Slipped Capital Femoral Epiphysis (SCFE) is a prevalent pediatric orthopedic condition. Treatment options range from in situ pinning to various osteotomies, with the Modified Dunn procedure gaining significant attention over the past two decades. However, the suitability of this procedure for different SCFE subtypes and the risk of avascular necrosis (AVN), particularly in moderate and severe cases, remains controversial. This study aims to report the midterm clinical and radiographic outcomes of the Modified Dunn procedure in treating SCFE, emphasizing the factors contributing to AVN development.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients and methods<\/jats:title>\n            <jats:p>We conducted a prospective case series between 2014 and 2022, enrolling patients with moderate and severe SCFE who were treated using the Modified Dunn procedure by a single experienced hip surgeon. Patients were followed up clinically and radiologically for a minimum of two years.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Thirty-six patients (29 males, 7 females) with moderate and severe SCFE were included, with an average age of 14 years and a mean follow-up of 49.28 months (range: 24\u2013118 months). Statistically significant improvements were observed in clinical and radiographic parameters at the final follow-up compared to pre-operative data. Five patients developed AVN, though no specific risk factor reached statistical significance regarding AVN development. While most AVN cases occurred early in the learning curve, this trend was not statistically significant.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Modified Dunn is a safe and effective option for treating moderate to severe SCFE, offering superior femoral head realignment and patient-reported outcomes. When performed by experienced surgeons, it results in acceptable complication rates, including AVN.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of evidence<\/jats:title>\n            <jats:p>Level IV Prospective Case series.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s13018-024-05369-5","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T07:14:46Z","timestamp":1736234086000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Mid-term outcomes of the modified Dunn procedure for slipped capital femoral epiphysis: results from a north African pediatric hip unit"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7173-316X","authenticated-orcid":false,"given":"Mohammad Kamal","family":"Abdelnasser","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdelazim","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelkhalek Hafez","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nariman","family":"Abol Oyoun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"5369_CR1","doi-asserted-by":"publisher","first-page":"807","DOI":"10.2106\/00004623-196749050-00001","volume":"49","author":"WO Southwick","year":"1967","unstructured":"Southwick WO. Osteotomy through the lesser trochanter for slipped capital femoral epiphysis. J Bone Joint Surg Am. 1967;49:807\u201335.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR2","doi-asserted-by":"publisher","unstructured":"Millis MB, Novais EN. In situ fixation for slipped capital femoral epiphysis: perspectives in 2011. J Bone Joint Surg Am 93 Suppl. 2011;246\u201351. https:\/\/doi.org\/10.2106\/JBJS.K.00040.","DOI":"10.2106\/JBJS.K.00040"},{"key":"5369_CR3","doi-asserted-by":"crossref","unstructured":"Barmada R, Bruch RF, Gimbel JS, Ray RD. (1978) Base of the neck extracapsular osteotomy for correction of deformity in slipped capital femoral epiphysis. Clin Orthop Relat Res:98\u2013101.","DOI":"10.1097\/00003086-197805000-00019"},{"key":"5369_CR4","doi-asserted-by":"publisher","first-page":"796","DOI":"10.2106\/00004623-197658060-00009","volume":"58","author":"WG Kramer","year":"1976","unstructured":"Kramer WG, Craig WA, Noel S. Compensating osteotomy at the base of the femoral neck for slipped capital femoral epiphysis. J Bone Joint Surg Am. 1976;58:796\u2013800.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR5","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1007\/s00064-007-1213-7","volume":"19","author":"M Leunig","year":"2007","unstructured":"Leunig M, Slongo T, Kleinschmidt M, Ganz R. Subcapital correction osteotomy in slipped capital femoral epiphysis by means of surgical hip dislocation. Oper Orthop Traumatol. 2007;19:389\u2013410. https:\/\/doi.org\/10.1007\/s00064-007-1213-7.","journal-title":"Oper Orthop Traumatol"},{"key":"5369_CR6","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1302\/0301-620X.32B2.183","volume":"32\u2013B","author":"A Gibson","year":"1950","unstructured":"Gibson A. Posterior exposure of the hip joint. J Bone Joint Surg Br. 1950;32\u2013B:183\u20136. https:\/\/doi.org\/10.1302\/0301-620X.32B2.183.","journal-title":"J Bone Joint Surg Br"},{"key":"5369_CR7","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1097\/00005131-199809000-00008","volume":"12","author":"TJ Gill","year":"1998","unstructured":"Gill TJ, Sledge JB, Ekkernkamp A, Ganz R. Intraoperative assessment of femoral head vascularity after femoral neck fracture. J Orthop Trauma. 1998;12:474\u20138. https:\/\/doi.org\/10.1097\/00005131-199809000-00008.","journal-title":"J Orthop Trauma"},{"key":"5369_CR8","doi-asserted-by":"publisher","first-page":"1283","DOI":"10.1302\/0301-620X.98B9.37071","volume":"98\u2013B","author":"AH Abdelazeem","year":"2016","unstructured":"Abdelazeem AH, Beder FK, Abdel Karim MM, Abdelazeem H, Abdel-Ghani H. The anatomical reduction of a moderate or severe stable slipped capital femoral epiphysis by modified Dunn subcapital osteotomy using the Ganz approach. Bone Joint J. 2016;98\u2013B:1283\u20138. https:\/\/doi.org\/10.1302\/0301-620X.98B9.37071.","journal-title":"Bone Joint J"},{"key":"5369_CR9","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.2106\/00004623-199308000-00002","volume":"75","author":"RT Loder","year":"1993","unstructured":"Loder RT, Richards BS, Shapiro PS, Reznick LR, Aronson DD. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75:1134\u201340. https:\/\/doi.org\/10.2106\/00004623-199308000-00002.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR10","doi-asserted-by":"publisher","first-page":"62","DOI":"10.2106\/00004623-197759010-00010","volume":"59","author":"ET O\u2019Brien","year":"1977","unstructured":"O\u2019Brien ET, Fahey JJ. Remodeling of the femoral neck after in situ pinning for slipped capital femoral epiphysis. J Bone Joint Surg Am. 1977;59:62\u20138.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR11","doi-asserted-by":"publisher","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","volume":"51","author":"WH Harris","year":"1969","unstructured":"Harris WH. 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. J Bone Joint Surg Am. 1969;51:737\u201355.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR12","first-page":"1833","volume":"15","author":"N Bellamy","year":"1988","unstructured":"Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. 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. J Rheumatol. 1988;15:1833\u201340.","journal-title":"J Rheumatol"},{"key":"5369_CR13","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1097\/BPO.0b013e31822ed320","volume":"31","author":"M Kamegaya","year":"2011","unstructured":"Kamegaya M, Saisu T, Nakamura J, Murakami R, Segawa Y, Wakou M. Drehmann sign and femoro-acetabular impingement in SCFE. J Pediatr Orthop. 2011;31:853\u20137. https:\/\/doi.org\/10.1097\/BPO.0b013e31822ed320.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR14","doi-asserted-by":"publisher","unstructured":"Lerch TD, Vuilleumier S, Schmaranzer F, Ziebarth K, Steppacher SD, Tannast M, Siebenrock KA. Patients with severe slipped capital femoral epiphysis treated by the modified Dunn procedure have low rates of avascular necrosis, good outcomes, and little osteoarthritis at long-term follow-up. Bone Joint J. 2019;101\u2013b. https:\/\/doi.org\/10.1302\/0301-620x.101b4.Bjj-2018-1303.R1.","DOI":"10.1302\/0301-620x.101b4.Bjj-2018-1303.R1"},{"key":"5369_CR15","doi-asserted-by":"publisher","first-page":"1540","DOI":"10.2214\/AJR.06.0921","volume":"188","author":"M Tannast","year":"2007","unstructured":"Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular impingement: radiographic diagnosis\u2013what the radiologist should know. AJR Am J Roentgenol. 2007;188:1540\u201352. https:\/\/doi.org\/10.2214\/AJR.06.0921.","journal-title":"AJR Am J Roentgenol"},{"key":"5369_CR16","doi-asserted-by":"publisher","first-page":"1629","DOI":"10.2106\/00004623-197355080-00006","volume":"55","author":"AF Brooker","year":"1973","unstructured":"Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55:1629\u201332.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR17","doi-asserted-by":"publisher","first-page":"704","DOI":"10.1007\/s11999-008-0687-4","volume":"467","author":"K Ziebarth","year":"2009","unstructured":"Ziebarth K, Zilkens C, Spencer S, Leunig M, Ganz R, Kim YJ. Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop Relat Res. 2009;467:704\u201316. https:\/\/doi.org\/10.1007\/s11999-008-0687-4.","journal-title":"Clin Orthop Relat Res"},{"key":"5369_CR18","doi-asserted-by":"publisher","first-page":"585","DOI":"10.2106\/jbjs.L.00203","volume":"95","author":"WN Sankar","year":"2013","unstructured":"Sankar WN, Vanderhave KL, Matheney T, Herrera-Soto JA, Karlen JW. The modified Dunn procedure for unstable slipped capital femoral epiphysis: a multicenter perspective. J Bone Joint Surg Am. 2013;95:585\u201391. https:\/\/doi.org\/10.2106\/jbjs.L.00203.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR19","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1097\/bpo.0000000000000161","volume":"34","author":"VV Upasani","year":"2014","unstructured":"Upasani VV, Matheney TH, Spencer SA, Kim YJ, Millis MB, Kasser JR. Complications after modified Dunn osteotomy for the treatment of adolescent slipped capital femoral epiphysis. J Pediatr Orthop. 2014;34:661\u20137. https:\/\/doi.org\/10.1097\/bpo.0000000000000161.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR20","doi-asserted-by":"publisher","first-page":"e245479","DOI":"10.1590\/1413-785220223002245479","volume":"30","author":"E Gabana","year":"2022","unstructured":"Gabana E, Massa BSF, Luzo CAM, Reis PRD, Silva JDS, Kojima KE. RADIOLOGICAL RESULTS OF SEVERE SCFE TREATMENT AT IOT-FMUSP FROM 2012 TO 2018. Acta Ortop Bras. 2022;30:e245479. https:\/\/doi.org\/10.1590\/1413-785220223002245479.","journal-title":"Acta Ortop Bras"},{"key":"5369_CR21","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1302\/1863-2548.15.210106","volume":"15","author":"O Birke","year":"2021","unstructured":"Birke O, George JS, Gibbons PJ, Little DG. The modified Dunn procedure can be performed safely in stable slipped capital femoral epiphysis but does not alter avascular necrosis rates in unstable cases: a large single-centre cohort study. J Child Orthop. 2021;15:479\u201387. https:\/\/doi.org\/10.1302\/1863-2548.15.210106.","journal-title":"J Child Orthop"},{"key":"5369_CR22","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/bpo.0000000000000975","volume":"39","author":"RL Davis","year":"2019","unstructured":"Davis RL 2nd, Samora WP 3rd, Persinger F, Klingele KE. Treatment of unstable versus stable slipped capital femoral epiphysis using the Modified Dunn Procedure. J Pediatr Orthop. 2019;39:411\u20135. https:\/\/doi.org\/10.1097\/bpo.0000000000000975.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR23","doi-asserted-by":"publisher","DOI":"10.1177\/11207000211004862","author":"C Galletta","year":"2021","unstructured":"Galletta C, Aprato A, Giachino M, Marre\u2019 Brunenghi G, Boero S, Turchetto L, Mass\u00e8 A. Modified Dunn procedure versus percutaneous pinning in moderate\/severe stable slipped capital femoral epiphyses. HIP Int DOI. 2021. https:\/\/doi.org\/10.1177\/11207000211004862.","journal-title":"HIP Int DOI"},{"key":"5369_CR24","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1097\/bpo.0000000000000737","volume":"38","author":"F Persinger","year":"2018","unstructured":"Persinger F, Davis RL 2nd, Samora WP, Klingele KE. Treatment of unstable slipped capital Epiphysis Via the Modified Dunn Procedure. J Pediatr Orthop. 2018;38:3\u20138. https:\/\/doi.org\/10.1097\/bpo.0000000000000737.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR25","doi-asserted-by":"publisher","first-page":"2898","DOI":"10.2106\/jbjs.I.01385","volume":"92","author":"T Slongo","year":"2010","unstructured":"Slongo T, Kakaty D, Krause F, Ziebarth K. Treatment of slipped capital femoral epiphysis with a modified Dunn procedure. J Bone Joint Surg Am. 2010;92:2898\u2013908. https:\/\/doi.org\/10.2106\/jbjs.I.01385.","journal-title":"J Bone Joint Surg Am"},{"key":"5369_CR26","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1007\/s11832-012-0423-1","volume":"6","author":"C Alves","year":"2012","unstructured":"Alves C, Steele M, Narayanan U, Howard A, Alman B, Wright JG. Open reduction and internal fixation of unstable slipped capital femoral epiphysis by means of surgical dislocation does not decrease the rate of avascular necrosis: a preliminary study. J Child Orthop. 2012;6:277\u201383. https:\/\/doi.org\/10.1007\/s11832-012-0423-1.","journal-title":"J Child Orthop"},{"key":"5369_CR27","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1097\/bpo.0000000000000193","volume":"34","author":"CD Souder","year":"2014","unstructured":"Souder CD, Bomar JD, Wenger DR. The role of capital realignment versus in situ stabilization for the treatment of slipped capital femoral epiphysis. J Pediatr Orthop. 2014;34:791\u20138. https:\/\/doi.org\/10.1097\/bpo.0000000000000193.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR28","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1007\/s00264-018-3993-9","volume":"43","author":"EN Novais","year":"2019","unstructured":"Novais EN, Maranho DA, Heare T, Sink E, Carry PM, O\u2019Donnel C. The modified Dunn procedure provides superior short-term outcomes in the treatment of the unstable slipped capital femoral epiphysis as compared to the inadvertent closed reduction and percutaneous pinning: a comparative clinical study. Int Orthop. 2019;43:669\u201375. https:\/\/doi.org\/10.1007\/s00264-018-3993-9.","journal-title":"Int Orthop"},{"key":"5369_CR29","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1097\/bpo.0000000000000968","volume":"39","author":"J Sikora-Klak","year":"2019","unstructured":"Sikora-Klak J, Bomar JD, Paik CN, Wenger DR, Upasani V. Comparison of Surgical outcomes between a triplane proximal femoral osteotomy and the Modified Dunn Procedure for stable, moderate to severe slipped capital femoral epiphysis. J Pediatr Orthop. 2019;39:339\u201346. https:\/\/doi.org\/10.1097\/bpo.0000000000000968.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR30","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1007\/s43465-020-00156-w","volume":"55","author":"MV Agashe","year":"2021","unstructured":"Agashe MV, Pinto DA, Vaidya S. Modified Dunn Osteotomy for moderate and severe slipped capital femoral epiphysis - A retrospective study of thirty hips. Indian J Orthop. 2021;55:100\u20138. https:\/\/doi.org\/10.1007\/s43465-020-00156-w.","journal-title":"Indian J Orthop"},{"key":"5369_CR31","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1097\/BPO.0000000000000936","volume":"39","author":"JJ Masquijo","year":"2019","unstructured":"Masquijo JJ, Allende V, D\u2019Elia M, Miranda G, Fern\u00e1ndez CA. Treatment of slipped capital femoral epiphysis with the Modified Dunn Procedure: a Multicenter Study. J Pediatr Orthop. 2019;39:71\u20136. https:\/\/doi.org\/10.1097\/BPO.0000000000000936.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR32","doi-asserted-by":"publisher","first-page":"415","DOI":"10.4055\/cios19038","volume":"13","author":"C Sarassa","year":"2021","unstructured":"Sarassa C, Carmona D, Vanegas Isaza D, Restrepo Rodr\u00edguez C, Herrera Torres AM. Long-term results of slipped capital femoral epiphysis treated with the Modified Dunn Procedure in a Colombian cohort. Clin Orthop Surg. 2021;13:415\u201322. https:\/\/doi.org\/10.4055\/cios19038.","journal-title":"Clin Orthop Surg"},{"key":"5369_CR33","doi-asserted-by":"publisher","first-page":"103132","DOI":"10.1016\/j.otsr.2021.103132","volume":"108","author":"C Mallet","year":"2022","unstructured":"Mallet C, Campana M, Mas V, Simon AL, Ilharreborde B. Is anterior subcapital shortening osteotomy a reliable and reproducible technique in the treatment of severe slipped capital femoral epiphysis? Orthop Traumatol Surg Res. 2022;108:103132. https:\/\/doi.org\/10.1016\/j.otsr.2021.103132.","journal-title":"Orthop Traumatol Surg Res"},{"key":"5369_CR34","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1007\/s11999-016-5094-7","volume":"475","author":"VV Upasani","year":"2017","unstructured":"Upasani VV, Birke O, Klingele KE, Millis MB. Iatrogenic hip instability is a devastating complication after the Modified Dunn Procedure for severe slipped capital femoral epiphysis. Clin Orthop Relat Res. 2017;475:1229\u201335. https:\/\/doi.org\/10.1007\/s11999-016-5094-7.","journal-title":"Clin Orthop Relat Res"},{"key":"5369_CR35","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0575","volume":"99\u2013B","author":"A Aprato","year":"2017","unstructured":"Aprato A, Leunig M, Masse A, Slongo T, Ganz R. Instability of the hip after anatomical re-alignment in patients with a slipped capital femoral epiphysis. Bone Joint J. 2017;99\u2013B:16\u201321. https:\/\/doi.org\/10.1302\/0301-620X.99B1.BJJ-2016-0575.","journal-title":"Bone Joint J"},{"key":"5369_CR36","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.otsr.2014.12.004","volume":"101","author":"E Nectoux","year":"2015","unstructured":"Nectoux E, Decaudain J, Accadbled F, Hamel A, Bonin N, Gicquel P, French society of Orthopedic TS. Evolution of slipped capital femoral epiphysis after in situ screw fixation at a mean 11 years\u2019 follow-up: a 222 case series. Orthop Traumatol Surg Res. 2015;101:51\u20134. https:\/\/doi.org\/10.1016\/j.otsr.2014.12.004.","journal-title":"Orthop Traumatol Surg Res"},{"key":"5369_CR37","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1080\/17453674.2018.1439238","volume":"89","author":"G Trisolino","year":"2018","unstructured":"Trisolino G, Stilli S, Gallone G, Santos Leite P, Pignatti G. Comparison between modified Dunn procedure and in situ fixation for severe stable slipped capital femoral epiphysis. Acta Orthop. 2018;89:211\u20136. https:\/\/doi.org\/10.1080\/17453674.2018.1439238.","journal-title":"Acta Orthop"},{"key":"5369_CR38","doi-asserted-by":"publisher","unstructured":"Fournier A, Monget F, Ternynck C, Fron D, Mezel A, Herbaux B, Canavese F, Nectoux E. (2022) Comparison between anterior cuneiform osteotomy and Dunn procedure in the surgical management of unstable severe slipped femoral epiphysis: A case-control study of 41 patients. Orthopaedics & Traumatology: Surgery & Research 108:103167. https:\/\/doi.org\/10.1016\/j.otsr.2021.103167","DOI":"10.1016\/j.otsr.2021.103167"},{"key":"5369_CR39","doi-asserted-by":"publisher","first-page":"2108","DOI":"10.1007\/s11999-014-4100-1","volume":"473","author":"EN Novais","year":"2015","unstructured":"Novais EN, Hill MK, Carry PM, Heare TC, Sink EL. Modified Dunn Procedure is Superior to in situ pinning for short-term clinical and radiographic improvement in severe stable SCFE. Clin Orthop Relat Res. 2015;473:2108\u201317. https:\/\/doi.org\/10.1007\/s11999-014-4100-1.","journal-title":"Clin Orthop Relat Res"},{"key":"5369_CR40","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1097\/bpo.0000000000000779","volume":"38","author":"JB Jackson","year":"2018","unstructured":"Jackson JB 3rd, Frick SL, Brighton BK, Broadwell SR, Wang EA, Casey VF. Restoration of Blood Flow to the proximal femoral epiphysis in unstable slipped capital femoral epiphysis by Modified Dunn Procedure: a preliminary angiographic and intracranial pressure monitoring study. J Pediatr Orthop. 2018;38:94\u20139. https:\/\/doi.org\/10.1097\/bpo.0000000000000779.","journal-title":"J Pediatr Orthop"},{"key":"5369_CR41","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1302\/0301-620x.95b3.30113","volume":"95\u2013b","author":"SS Madan","year":"2013","unstructured":"Madan SS, Cooper AP, Davies AG, Fernandes JA. The treatment of severe slipped capital femoral epiphysis via the Ganz surgical dislocation and anatomical reduction: a prospective study. Bone Joint J. 2013;95\u2013b:424\u20139. https:\/\/doi.org\/10.1302\/0301-620x.95b3.30113.","journal-title":"Bone Joint J"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-024-05369-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-024-05369-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-024-05369-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T13:01:57Z","timestamp":1745067717000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-024-05369-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,7]]},"references-count":41,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["5369"],"URL":"https:\/\/doi.org\/10.1186\/s13018-024-05369-5","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,7]]},"assertion":[{"value":"8 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in accordance with the principles of the Declaration of Helsinki. The Ethics Review Committee, Assiut Faculty of Medicine (Date 22\/07\/2014\/No. 17200032), granted approval.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent: Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors affirm that human research participants provided informed consent for the publication of the images in Figs.\u00a0 and .","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"14"}}