Abstract
The modified Dunn technique is the most comprehensive approach to managing femoral deformity and intra-articular damage associated with slipped capital femoral epiphysis. It is a technically demanding procedure that requires an understanding of the SCFE deformity, upper femoral vascular anatomy, and expertise performing the surgical dislocation.
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References
Zaltz I, Baca G, Clohisy JC. Unstable SCFE: review of treatment modalities and prevalence of osteonecrosis. Clin Orthop Relat Res. 2013;471(7):2192–8.
Boyer DW, Mickelson MR, Ponseti IV. Slipped capital femoral epiphysis. Long-term follow-up study of one hundred and twenty-one patients. J Bone Joint Surg Am. 1981;63(1):85–95.
Larson AN, Sierra RJ, Yu EM, Trousdale RT, Stans AA. Outcomes of slipped capital femoral epiphysis treated with in situ pinning. J Pediatr Orthop. 2012;32(2):125–30.
Castañeda P, Ponce C, Villareal G, Vidal C. The natural history of osteoarthritis after a slipped capital femoral epiphysis/the pistol grip deformity. J Pediatr Orthop. 2013;33 Suppl 1:S76–82.
Parsch K, Weller S, Parsch D. Open reduction and smooth Kirschner wire fixation for unstable slipped capital femoral epiphysis. J Pediatr Orthop. 2009;29(1):1–8.
Dunn DM. The treatment of adolescent slipping of the upper femoral epiphysis. J Bone Joint Surg Br. 1964;46:621–9.
Fish JB. Cuneiform osteotomy of the femoral neck in the treatment of slipped capital femoral epiphysis. J Bone Joint Surg Am. 1984;66(8):1153–68.
Ziebarth K, Zilkens C, Spencer S, Leunig M, Ganz R, Kim YJ. Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop Relat Res. 2009;467(3):704–16.
Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U. Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83(8):1119.
Gautier E, Ganz K, Krügel N, Gill T, Ganz R. Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg Br. 2000;82(5):679–83.
Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.
Leunig M, Casillas MM, Hamlet M, Hersche O, Nötzli H, Slongo T, Ganz R. Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand. 2000;71(4):370–5.
Huber H, Dora C, Ramseier LE, Buck F, Dierauer S. Adolescent slipped capital femoral epiphysis treated by a modified Dunn osteotomy with surgical hip dislocation. J Bone Joint Surg Br. 2011;93(6):833–8.
Slongo T, Kakaty D, Krause F, Ziebarth K. Treatment of slipped capital femoral epiphysis with a modified Dunn procedure. J Bone Joint Surg Am. 2010;92(18):2898–908.
Sankar WN, Vanderhave KL, Matheney T, Herrera-Soto JA, Karlen JW. The modified Dunn procedure for unstable slipped capital femoral epiphysis: a multicenter perspective. J Bone Joint Surg Am. 2013;95(7):585–91.
Carney BT, Weinstein SL, Carney J. Long-term follow-up of slipped capital femoral epiphysis. J Bone Joint Surg Am. 1991;73-A(5):667–74.
Sankar WN, Brighton BK, Kim Y-J, Millis MB. Acetabular morphology in slipped capital femoral epiphysis. J Pediatr Orthop. 2011;31(3):254–8.
Leunig M, Slongo T, Kleinschmidt M, Ganz R. Subcapitale Korrekturosteotomie bei der Epiphysiolysis capitis femoris mittels chirurgischer Hüftluxation. Oper Orthop Traumat. 2007;19:389–410.
Leunig M, Slongo T, Ganz R. Subcapital realignment in SCFE. Instr Course Lect. 2008;57:499–507.
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Zaltz, I. (2015). Surgical Technique: Open Reduction Using the Modified-Dunn Technique. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_37
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DOI: https://doi.org/10.1007/978-1-4614-6965-0_37
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