{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T06:44:31Z","timestamp":1781505871775,"version":"3.54.1"},"reference-count":47,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Treatment of moderate to severe stable slipped capital femoral epiphysis (SCFE) remains a challenging problem. Open reduction by modified Dunn procedure carries a considerable risk of osteonecrosis (ON). Imhauser osteotomy is capable of realigning the deformity without the risk of ON, but the remaining metaphyseal bump is implicated with significant chondro-labral lesions and accelerated osteoarthritis. We conducted this study to evaluate the efficacy and safety of Imhauser osteotomy combined with osteochondroplasty (OCP) through the surgical hip dislocation (SHD) approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective series of 23 patients with moderate-severe stable SCFE underwent Imhauser osteotomy and OCP through SHD. The mean age was 14.4 years (13 to 20) and the mean follow-up period was 45 months (24 to 66). The outcome measures included clinical and radiological parameters and Harris hip score (HHS) was used as a functional score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean HHS improved significantly from 65.39 to 93.3. The limb length discrepancy improved by a mean of 1.72 cm. The mean flexion and abduction arcs showed a significant improvement (mean increase of 37.5\u00b0 and 18.5\u00b0, respectively). The mean internal rotation demonstrated the most significant improvement (mean increase of 38.5\u00b0). All the radiographic parameters improved significantly; including anterior and lateral slip angles (mean improvement 37.52\u00b0 and 44.37\u00b0, respectively). The mean alpha angle decreased by 39.19\u00b0. The articulo-trochanteric distance significantly increased to a mean of 23.26 mm. No cases of ON or chondrolysis were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Combined Imhauser osteotomy and OCP through the surgical dislocation approach provide a comprehensive and safe management of moderate to severe stable SCFE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.14.200021","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T07:24:13Z","timestamp":1589959453000},"page":"190-200","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Combined Imhauser osteotomy and osteochondroplasty in slipped capital femoral epiphysis through surgical hip dislocation approach"],"prefix":"10.1177","volume":"14","author":[{"given":"Mostafa M.","family":"Baraka","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany M.","family":"Hefny","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mootaz F.","family":"Thakeb","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer A.","family":"Fayyad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haytham","family":"Abdelazim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamdouh H.","family":"Hefny","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud A.","family":"Mahran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"bibr1-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199601000-00012"},{"key":"bibr2-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318277174c"},{"key":"bibr3-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-012-0397-z"},{"key":"bibr4-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181c6b37a"},{"key":"bibr5-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000096804.78689.c2"},{"key":"bibr6-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000297"},{"key":"bibr7-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000161"},{"key":"bibr8-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-014-0559-2"},{"key":"bibr9-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181b2b3a3"},{"key":"bibr10-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318274f716"},{"key":"bibr11-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31820fcc81"},{"key":"bibr12-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181558c94"},{"key":"bibr13-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749050-00001"},{"key":"bibr14-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0477-z"},{"key":"bibr15-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.05.024"},{"key":"bibr16-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B4.0840556"},{"key":"bibr17-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00203"},{"key":"bibr18-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.46B4.621"},{"key":"bibr19-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-2818-9"},{"key":"bibr20-1863-2548.14.200021","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0591-y"},{"key":"bibr21-1863-2548.14.200021","first-page":"327","volume":"102","author":"Imhauser 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