{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T22:25:08Z","timestamp":1763591108428},"reference-count":40,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2006,10,1]],"date-time":"2006-10-01T00:00:00Z","timestamp":1159660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:p> We reviewed prospectively, after skeletal maturity, a series of 24 patients (25 hips) with severe acute-on-chronic slipped capital femoral epiphysis which had been treated by subcapital cuneiform osteotomy. Patients were followed up for a mean of 8 years, 3 months (2 years, 5 months to 16 years, 4 months). Bedrest with \u2018slings and springs\u2019 had been used for a mean of 22 days (19 to 35) in 22 patients, and bedrest alone in two, before definitive surgery. The Iowa hip score, the Harris hip score and Boyer\u2019s radiological classification for degenerative disease were used. <\/jats:p><jats:p> The mean Iowa hip score at follow-up was 93.7 (69 to 100) and the mean Harris hip score 95.6 (78 to 100). Degenerative joint changes were graded as 0 in 19 hips, grade 1 in four and grade 2 in two. The rate of avascular necrosis was 12% (3 of 25) and the rate of chondrolysis was 16% (4 of 25). We conclude that after a period of bed rest with slings and springs for three weeks to gain stability, subcapital cuneiform osteotomy for severe acute-on-chronic slipped capital femoral epiphysis is a satisfactory method of treatment with an acceptable rate of complication. <\/jats:p>","DOI":"10.1302\/0301-620x.88b10.17719","type":"journal-article","created":{"date-parts":[[2006,9,29]],"date-time":"2006-09-29T16:53:40Z","timestamp":1159548820000},"page":"1379-1384","source":"Crossref","is-referenced-by-count":30,"title":["Outcomes of subcapital cuneiform osteotomy for the treatment of severe slipped capital femoral epiphysis after skeletal maturity"],"prefix":"10.1302","volume":"88-B","author":[{"given":"G. S.","family":"Biring","sequence":"first","affiliation":[{"name":"Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Hashemi-Nejad","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Catterall","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000151058.47109.fe"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173050-00004"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163010-00011"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200109000-00027"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199601000-00006"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Ross PM, Lyne ED, Morawa LG. Slipped capital femoral epiphysis: long-term results after 10\u201338 years. Clin Orthop 1979;141:176\u201380.","DOI":"10.1097\/00003086-197906000-00021"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.3109\/17453675308991203"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Rattey T, Piehl F, Wright JG. Acute slipped capital femoral epiphysis: review of outcomes and rates of avascular necrosis. J Bone Joint Surg [Am] 1996;78-A:398\u2013402.","DOI":"10.2106\/00004623-199603000-00011"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Murray RO. The aetiology of primary osteoarthritis of the hip. Radiol 1965;38:810\u201324.","DOI":"10.1259\/0007-1285-38-455-810"},{"key":"R10","unstructured":"Stulberg SD, Cordell LD, Harris WH, Ramsey PL, MacEwen G. Unrecognized childhood hip disease: a major cause of idiopathic osteoarthritis of the hip. In: Procs third open scientific meeting of the Hip Society. C. V. Mosby, 1975:212\u201328."},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.60B3.681417"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Fish JB. Cuneiform osteotomy of the femoral neck in the treatment of slipped capital femoral epiphysis: a follow-up note. J Bone Joint Surg [Am] 1994;76-A:46\u201359.","DOI":"10.2106\/00004623-199401000-00007"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199305000-00004"},{"key":"R14","doi-asserted-by":"crossref","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-A: 796\u2013800.","DOI":"10.2106\/00004623-197658060-00009"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749050-00001"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200011000-00010"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00002"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196300310-00011"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B1.0800070"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800239213"},{"key":"R22","unstructured":"Griffith MJ. Slipping of the capital femoral epiphysis. Ann R Coll Surg Engl 1976;58: 34\u201342."},{"key":"R23","unstructured":"Rang M. Anthology of orthopaedics. Edinburgh: E &\n S Livingstone 1996:139\u201343."},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200103000-00011"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199709000-00013"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199601000-00012"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.39B4.659"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196547060-00002"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Hansson LI, H\u00e4gglund G, Ordeberg G. Slipped capital femoral epiphysis in southern Sweden 1910\u20131982. Acta Orthop Scand 1987;226(suppl):1\u201367.","DOI":"10.3109\/17453678709154165"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Rooks MD, Schmitt W, Drvaric DM. Unrecognized pin penetration in slipped capital femoral epiphysis. Clin Orthop 1988;234:82\u20139.","DOI":"10.1097\/00003086-198809000-00017"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Swiontkowski M. Slipped capital femoral epiphysis: complication related to internal fixation. Orthopedics 1983;6:705\u201312.","DOI":"10.3928\/0147-7447-19830601-05"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759010-00010"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199605030-00003"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173050-00003"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Gage JR, Sundberg AB, Nolan DR, Sletten RG, Winter RB. Complications after cuneiform osteotomy for moderately or severely slipped capital femoral epiphysis. J Bone Joint Surg [Am] 1978;60-A:157\u201365.","DOI":"10.2106\/00004623-197860020-00002"},{"key":"R36","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B5.2211771"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199601000-00007"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B7.0831046"},{"key":"R39","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.39B4.641"},{"key":"R40","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.42B2.280"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.88B10.17719","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.88B10.17719","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.88B10.17719","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:46:23Z","timestamp":1629146783000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.88B10.17719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,10]]},"references-count":40,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2006,10]]}},"alternative-id":["10.1302\/0301-620X.88B10.17719"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.88b10.17719","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,10]]}}}