@entity4039 ( @entity4039 ) is the most common @entity572 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 @entity1 presenting with severe unilateral @entity4039 (defined > 50  ) managed with a subcapital cuneiform osteotomy. Between 2001 and 2011, 57 @entity1 (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-shaft slip angle from 53.8(o) (standard deviation (sd) 3.2) pre-operatively to 9.1(o) (sd 3.1) post-operatively, with minimal associated femoral neck shortening. In total 50 (88%) @entity1 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 @entity158 score was 0 out of 10 (interquartile range 0 to 4). A total of six @entity1 (10.5%) developed @entity2530 requiring further surgery and one (1.8%) @entity1 developed chondrolysis but declined further intervention. This is a technically demanding operation with variable outcomes reported in the literature. We have demonstrated good results in our tertiary centre. Cite this article: Bone Joint J 2015;97-B:1718-25.

Outcomes following subcapital osteotomy for severe XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity572 :: ('MESH:D006617', 'Disease') :: ['hip disorder'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity4039 :: ('MESH:D060048', 'Disease') :: ['SUFE', 'Slipped upper femoral epiphysis'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity4039 :: (MESH:D060048,Disease) :: ['slipped upper femoral epiphysis']
