{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T19:48:50Z","timestamp":1774554530850,"version":"3.50.1"},"reference-count":32,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T00:00:00Z","timestamp":1406851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>The aim of this study was to determine whether an osteoplasty of the femoral neck performed at the same time as an intertrochanteric Imh\u00e4user osteotomy led to an improved functional outcome or increased morbidity. A total of 20 hips in 19 patients (12 left, 8 right, 13 male, 6 female), who underwent an Imh\u00e4user intertrochanteric osteotomy following a slipped capital femoral epiphysis were assessed over an eight-year period. A total of 13 hips in 13 patients had an osteoplasty of the femoral neck at the same time. The remaining six patients (seven hips) had intertrochanteric osteotomy alone. The mean age was 15.3 years (13 to 20) with a mean follow-up of 57.8 months (15 to 117); 19 of the slips were severe (Southwick grade III) and one was moderate (grade II), with a mean slip angle of 65.3\u00b0 (50\u00b0\u00a0to 80\u00b0); 17 of the slips were stable and three unstable at initial presentation. The mean Non-Arthritic Hip Scores (NAHS) in patients who underwent osteoplasty was 91.7 (76.3 to 100) and the mean NAHS in patients who did not undergo osteoplasty was 76.6 (41.3 to 100) (p = 0.056). Two patients required a subsequent arthroplasty and neither of these patients had an osteoplasty. No hips developed osteonecrosis or chondrolysis, and there was no increase in complications related to the osteoplasty. We recommend that for patients with a slipped upper femoral epiphysis undergoing an intertrochanteric osteotomy, the addition of an osteoplasty of the femoral neck should be considered.<\/jats:p><jats:p>Cite this article: Bone Joint J 2014;96-B:1119\u201323.<\/jats:p>","DOI":"10.1302\/0301-620x.96b8.33927","type":"journal-article","created":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T09:54:01Z","timestamp":1406886841000},"page":"1119-1123","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["A modified Imh\u00e4user osteotomy"],"prefix":"10.1302","volume":"96-B","author":[{"given":"N. S.","family":"Bali","sequence":"first","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road, Birmingham, West Midlands, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. O.","family":"Harrison","sequence":"additional","affiliation":[{"name":"University Hospital Birmingham, Queen Elizabeth Medical Centre, Birmingham B15 2TH, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. E.","family":"Bache","sequence":"additional","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road, Birmingham, West Midlands, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B1.19502"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199601000-00006"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B1.0800070"},{"key":"r4","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/00003086-198412000-00011","volume":"191","author":"Ordeberg G","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759010-00010"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19152"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B5.15058"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.46B4.621"},{"key":"r9","first-page":"499","volume":"57","author":"Leunig M","year":"2008","journal-title":"Instr Course Lect"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0687-4"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B6.25849"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01385"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31827d7e06"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000180"},{"key":"r15","unstructured":"Imh\u00e4user G. [Pathogenesis and therapy of hip dislocation in youth]. Z Orthop Ihre Grenzgeb 1956;88:3\u201341. [Article in German]."},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749050-00001"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0477-z"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1080\/000164700317393367"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00013"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B8.0831119"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00002"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196547060-00001"},{"key":"r23","unstructured":"Imh\u00e4user G. [Late results of Imh\u00e4user's osteotomy for slipped capital femoral epiphysis (author's transl)]. Z Orthop Ihre Grenzgeb 1977;115:716\u2013725. 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[Article in German].","DOI":"10.1007\/s00132-012-1940-9"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000217726.16417.74"},{"key":"r28","unstructured":"No Authors listedWOMAC Osteoarthritis Index. http:\/\/www.womac.org\/womac\/index.htm (accessed 22 May 2014)."},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0591-y"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00013"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B4.0840556"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31827d7e06"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B8.33927","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.96B8.33927","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B8.33927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T11:03:17Z","timestamp":1649847797000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.96B8.33927"}},"subtitle":["an assessment of the addition of an open femoral neck osteoplasty"],"short-title":[],"issued":{"date-parts":[[2014,8]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1302\/0301-620X.96B8.33927"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.96b8.33927","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8]]},"assertion":[{"value":"2014-02-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}