The treatment of epiphysiolysis of the hip. Further thoughts based on recent instructive cases

As an addendum to an earlier paper on the treatment of epiphysiolysis of the hip, the author presents four recent cases that demonstrate the importance both of early diagnosis and, more especially, of immediate operative treatment. This consists of reduction (if possible, as in the acute variety), epiphysiodesis and immediate mobilization. Otherwise, "late diagnosis", "inadequate treatment", or a combination of both condemns the hip joints of these young patients to permanent damage. Yet, by strict adherence to the programme of treatment suggested, it is possible to salvage the great majority of these hips.