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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2017

01-04-2017 | CORR Insights

CORR Insights®: Iatrogenic Hip Instability Is a Devastating Complication After the Modified Dunn Procedure for Severe Slipped Capital Femoral Epiphysis

Author: Randall T. Loder, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2017

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Excerpt

The authors of the current study describe a sobering complication—hip instability/dislocation after performing a modified Dunn procedure on children with severe slipped capital femoral epiphysis (SCFE). This multicenter study noted a 4% prevalence of postoperative hip instability after the procedure, likely a conservative estimate for this devastating complication. More sobering is the fact that 14 of the 17 patients with this complication developed avascular necrosis (AVN), with three patients having already undergone THA at a short-term followup mean of only 2 years. It is well known that AVN from a SCFE is a hip-destructive event [2]. …
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Metadata
Title
CORR Insights®: Iatrogenic Hip Instability Is a Devastating Complication After the Modified Dunn Procedure for Severe Slipped Capital Femoral Epiphysis
Author
Randall T. Loder, MD
Publication date
01-04-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-5141-4

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