Treatment of Acute Grade I Proximal Femoral Epiphysiolysis With Hip-Preserving Surgery: An Arthroscopic Approach.
- 1Orthopedics, Clinica Ortoped, Salvador, BRA.
Abstract
Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescence. Although in situ fixation remains the standard treatment for stable slips, it does not correct metaphyseal prominence. Open reconstructive procedures may better restore anatomy but with greater morbidity. This article describes an arthroscopic hip-preserving surgical technique for the treatment of acute Grade I SCFE. Patients were positioned supine on a traction table with padded boots and a well-padded perineal post. Under fluoroscopic guidance, in situ fixation was performed using a partially threaded 7.0-mm cannulated screw placed perpendicular to the physis. Standard anterolateral and mid-anterior portals were established, followed by synovectomy, interportal capsulotomy, and arthroscopic evaluation. The retinacular vessels were identified and preserved. A T-shaped capsulotomy allowed exposure of the head-neck junction. Cam deformity was defined after periosteal resection, and femoral osteoplasty was performed with a high-speed burr under fluoroscopic and arthroscopic control. Dynamic assessment confirmed adequate resection and the absence of residual impingement. Arthroscopic treatment with in situ fixation represents a potential hip-preserving approach for acute Grade I SCFE. Further studies are needed to determine long-term safety, functional outcomes, and the potential to prevent early degenerative changes.
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BibTeX
@article{garcia2026treatment,
title = {{Treatment of Acute Grade I Proximal Femoral Epiphysiolysis With Hip-Preserving Surgery: An Arthroscopic Approach.}},
author = {Lucas Cortizo Garcia and Davi Araújo Veiga Rosário and Fernando Cal Garcia Filho and Mariana Cantao and Thales Felipe Lucas Sena and Daniel Mascarenhas Isaac},
journal = {Cureus},
year = {2026},
month = sep,
doi = {10.7759/cureus.116915},
url = {https://europepmc.org/article/MED/42928924},
note = {CC BY},
}
RIS
TY - JOUR
TI - Treatment of Acute Grade I Proximal Femoral Epiphysiolysis With Hip-Preserving Surgery: An Arthroscopic Approach.
AU - Lucas Cortizo Garcia
AU - Davi Araújo Veiga Rosário
AU - Fernando Cal Garcia Filho
AU - Mariana Cantao
AU - Thales Felipe Lucas Sena
AU - Daniel Mascarenhas Isaac
PY - 2026
DA - 2026/09/25
JO - Cureus
DO - 10.7759/cureus.116915
UR - https://europepmc.org/article/MED/42928924
AB - Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescence. Although in situ fixation remains the standard treatment for stable slips, it does not correct metaphyseal prominence. Open reconstructive procedures may better restore anatomy but with greater morbidity. This article describes an arthroscopic hip-preserving surgical technique for the treatment of acute Grade I SCFE. Patients were positioned supine on a traction table with padded boots and a well-padded perineal post. Under fluoroscopic guidance, in situ fixation was performed using a partially threaded 7.0-mm cannulated screw placed perpendicular to the physis. Standard anterolateral and mid-anterior portals were established, followed by synovectomy, interportal capsulotomy, and arthroscopic evaluation. The retinacular vessels were identified and preserved. A T-shaped capsulotomy allowed exposure of the head-neck junction. Cam deformity was defined after periosteal resection, and femoral osteoplasty was performed with a high-speed burr under fluoroscopic and arthroscopic control. Dynamic assessment confirmed adequate resection and the absence of residual impingement. Arthroscopic treatment with in situ fixation represents a potential hip-preserving approach for acute Grade I SCFE. Further studies are needed to determine long-term safety, functional outcomes, and the potential to prevent early degenerative changes.
SN - 2168-8184
ER -