Treatment of Acute Grade I Proximal Femoral Epiphysiolysis With Hip-Preserving Surgery: An Arthroscopic Approach
Year: 2026
Type: article
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.
Source: Cureus
Language: English
Topic: Hip disorders and treatments
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7214303447