Open reduction of slipped capital femoral epiphysis

The condition

The capital femoral epiphysis is part of the rounded end (ball) at the top of the thigh bone (femur), which fits into the socket of the hip joint. During growth, particularly during adolescence, it can slip from its normal position, causing hip or knee pain, limping and deformity. This is called a slipped capital femoral epiphysis.

Treatment usually involves surgery to stabilise the epiphysis. If the condition isn't serious, this might involve fixing the hip with minimal surgery. If the slip is severe, open surgery may be needed, and the slip may be fixed using a bone graft.

NICE has looked at using open reduction as another treatment option.