{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:27:57Z","timestamp":1789028877553,"version":"build-2803163510"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: Moderate to severe chronic stable slipped capital femoral epiphysis (SCFE) produce permanent irregularities in the femoral head and acetabulum. We report a single centre long-term outcome study of Southwick\u2019s procedure for the management of moderate or severe stable chronic SCFE with irregularity of the femoral head.\\r\\nMethods: In the period from January 1978 to January 1990, 20 patients (16 girls, 4 boys; mean age 13 years; range 11 to 15 years) underwent 22 Southwick osteotomies for chronic stable SCFE with closure or partial closure of the growth plate and a slip between 30\u00b0 and 70\u00b0. All osteotomies were performed by the same surgeon. Patients were followed-up for an average of 22 years (range 16 to 28 years).\\r\\nResults: External rotation deformity was corrected, and the Trendelenburg sign was hardly observable in any of the patients from six months of surgery. Radiographically, all patients showed full consolidation of the osteotomy within two months of surgery. There was no further epiphyseal slipping. We did not encounter any infection or avascular necrosis. Only one patient developed chondrolysis, which resolved fully in eight months. At the latest follow-up, no limb length discrepancy was seen in 18 patients, while two patients had a mean of 0.8 cm shortening. Eight patients (36.4%) showed radiographic evidence for degenerative joint disease, but none were symptomatic.\\r\\nConclusion: The management of chronic stable (moderate to severe) SCFE by Southwick\u2019s osteotomy is safe, but technically demanding. It affords good predictable outcome with a low complication rate.\n\n\u00d6zet\n\nAma\u00e7: Orta dereceden ileri dereceye kadar olan kronik stabil femur ba\u015f\u0131 epifiz kaymas\u0131 (FBEK) femur ba\u015f\u0131nda ve asetabulumda kal\u0131c\u0131 bozukluklara neden olur. Bu yaz\u0131da, femur ba\u015f\u0131nda d\u00fczensizli\u011fin de e\u015flik etti\u011fi, stabil kronik orta veya ileri derecede FBEK i\u00e7in yap\u0131lan Southwick i\u015fleminin tekmerkezli uzun d\u00f6nem sonu\u00e7lar\u0131 sunuldu.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Ocak 1978-Ocak 1990 tarihleri aras\u0131nda, b\u00fcy\u00fcme pla\u011f\u0131 kapal\u0131 ya da yar\u0131 kapal\u0131, kayma miktar\u0131 30\u00b0-70\u00b0 aras\u0131nda olan kronik stabil FBEK\u2019li 20 hastaya (16 k\u0131z, 4 erkek; ort. ya\u015f 13; da\u011f\u0131l\u0131m 11-15) 22 Southwick osteotomisi uyguland\u0131. Osteotomilerin hepsi ayn\u0131 cerrah taraf\u0131ndan yap\u0131ld\u0131. Hastalar\u0131n ortalama takip s\u00fcresi 22 y\u0131l (da\u011f\u0131l\u0131m 16-28 y\u0131l) idi.\\r\\nSonu\u00e7lar: Eksternal rotasyon deformitesi d\u00fczeltildi ve Trendelenburg bulgusu ameliyattan alt\u0131 ay sonra t\u00fcm hastalarda neredeyse tamamen kayboldu. Radyografik olarak t\u00fcm hastalarda ameliyattan sonraki iki ay i\u00e7inde osteotomi b\u00f6lgesinde tam kaynama sa\u011fland\u0131. Hi\u00e7bir hastada epifizyel kayma g\u00f6r\u00fclmedi. Enfeksiyon ya da avask\u00fcler nekroza rastlanmad\u0131. Sadece bir hastada sekiz ay i\u00e7inde tamamen iyile\u015fen kondroliz g\u00f6r\u00fcld\u00fc. Son kontrollerde ekstremite uzunlu\u011fu 18 hastada e\u015fitti. \u0130ki hastada ortalama 0.8 cm k\u0131sal\u0131k g\u00f6r\u00fcld\u00fc. Sekiz hastada (%36.4) dejeneratif eklem hastal\u0131\u011f\u0131na ili\u015fkin radyografik bulgu saptand\u0131, bunlardan hi\u00e7biri semptomatik de\u011fildi. \\r\\n\u00c7\u0131kar\u0131mlar: Orta-ileri derecede FBEK\u2019nin Southwick osteotomisi ile tedavisi g\u00fcvenli, fakat teknik olarak zor bir y\u00f6ntemdir. Komplikasyon oran\u0131 d\u00fc\u015f\u00fckt\u00fcr ve iyi ve \u00f6ng\u00f6r\u00fclebilir bir sonu\u00e7 sa\u011flar.<\/jats:p>","DOI":"10.3944\/aott.2008.358","type":"journal-article","created":{"date-parts":[[2009,1,19]],"date-time":"2009-01-19T23:01:13Z","timestamp":1232406073000},"page":"358-364","source":"Crossref","is-referenced-by-count":11,"title":["Southwick osteotomy in stable slipped capital femoral epiphysis: A longterm outcome study"],"prefix":"10.5152","volume":"42","author":[{"given":"Cristiano","family":"Coppola","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Sadile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"M. Lotito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Cigala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chezhiyan","family":"Shanmugam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2222\/2179","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:58Z","timestamp":1763463658000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2008,1,5]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2008.358","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}