Related Experiment Video
Updated: May 23, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Slipped capital femoral epiphysis: reduction as a risk factor for avascular necrosis
Eduardo Rached1, Miguel Akkari, Susana Reis Braga
1Department of Orthopaedics and Traumatology, Pediatrics Division, Faculty of Medical Sciences, Santa Casa de Misericórdia de São Paulo (SCMSP), São Paulo, SP, Brazil.
Abstract:
Complication rates after the treatment of slipped capital femoral epiphysis (SCFE) were retrospectively evaluated to identify possible risk factors. Twenty-six patients with SCFE underwent reduction and fixation with a single screw or multiple wires. The prevalence of avascular necrosis (AVN) of the hip or chondrolysis was 14.8 and 3.6%, respectively. The degree of SCFE (P=0.050) and reduction before the seventh day after the slip (P=0.028) were associated with AVN. The risk factors for AVN were found to be a higher grade of SCFE correction and reduction between the second and the seventh day after SCFE.
Related Concept Videos
Bones of the Lower Limb: Femur and Patella
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

