{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T09:03:41Z","timestamp":1792400621378,"version":"4.4.0"},"reference-count":47,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"12","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"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":[[2015,12]]},"abstract":"<jats:p>Slipped upper femoral epiphysis (SUFE) is the most common hip disorder to affect adolescents. Controversy exists over the optimal treatment of severe slips, with a continuing debate between in situ fixation versus corrective surgery. We present our experience in a series of 57 patients presenting with severe unilateral SUFE (defined &gt; 50\u00b0) managed with a subcapital cuneiform osteotomy.<\/jats:p><jats:p>Between 2001 and 2011, 57 patients (35 male, 22 female) with a mean age of 13.1 years (9.6 to 20.3, SD 2.3) were referred to our tertiary referral institution with a severe slip. The affected limb was rested in slings and springs before corrective surgery which was performed via an anterior Smith-Petersen approach. Radiographic analysis confirmed an improvement in mean head\u2013shaft slip angle from 53.8<jats:sup>o<\/jats:sup>(standard deviation (sd) 3.2) pre-operatively to 9.1<jats:sup>o<\/jats:sup>(sd 3.1) post-operatively, with minimal associated femoral neck shortening. In total 50 (88%) patients were complication free at a mean follow-up of seven years (2.8 to 13.9 years, sd 3). Their mean Oxford hip score was 44 (37 to 48) and median visual analogue pain score was 0 out of 10 (interquartile range 0 to 4). A total of six patients (10.5%) developed avascular necrosis requiring further surgery and one (1.8%) patient developed chondrolysis but declined further intervention.<\/jats:p><jats:p>This is a technically demanding operation with variable outcomes reported in the literature. We have demonstrated good results in our tertiary centre.<\/jats:p><jats:p>Cite this article: Bone Joint J 2015;97-B:1718\u201325.<\/jats:p>","DOI":"10.1302\/0301-620x.97b12.35259","type":"journal-article","created":{"date-parts":[[2015,12,4]],"date-time":"2015-12-04T09:37:37Z","timestamp":1449221857000},"page":"1718-1725","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":17,"title":["Outcomes following subcapital osteotomy for severe slipped upper femoral epiphysis"],"prefix":"10.1302","volume":"97-B","author":[{"given":"I. 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