Management of slipped capital femoral epiphysis: What hardware we can use in osteosynthesis in situ?

Slipped Capital femoral epiphysis (SCFE) is a hip disorder involving children during prepubescence age. Obesity, growth spurts, and endocrine disorders are among the risk factors for SCFE, whose aetiology is thought to be multifactorial. To avoid gait abnormalities, chronic hip pain, femoroacetabular impinge-ment, avascular necrosis of the femoral head, and early hip osteoarthritis, SCFE must be treated early. Epiphysiolysis is pri-marily treated surgically to prevent secondary slippage locking the physis, but this can also prematurely close the growth plate and prevent remodeling of the proximal femur. The aim of the study is to review the literature on surgical devices used to man-age SCFE and identify any potential benefits or drawbacks. Various authors looked into and suggested various hardware to prevent iatrogenic epiphysiodesis. According to the results of these studies, patients with epiphysiolysis can grow their femoral necks following stabilization with dynamic hardware that doesn’t compress the proximal femur’s growth plate.