ETIOLOGY, PATHOGENESIS, DIAGNOSIS AND PRINCIPLES OF TREATMENT OF SLIPPED CAPITAL FEMORAL EPIPHYSIS. LITERATURE REVIEW

Abstract

Aim: to describe the epidemiology, possible causes and predisposing factors for the development of slipped capital femoral epiphysis. To follow the evo­lution of classifications. Analyze indications for surgical treatment, as well as types of surgical treatment.  Materials and methods: this review article analyzes the data of Russian and foreign literature on the etiology, pathogenesis, diagnosis and treatment of slipped capital femoral epiphysis.  Results: in view of the frequent distribution in the population, high risks of disability in pediatric patients, the issue of treatment of slipped capital femoral epiphysis remains very relevant. Many methods of surgical treatment have been proposed depending on the stage of the disease, however, they have their own advantages and disadvantages.  Conclusions: Conservative treatment in the long term did not show good results, generally accepted, according to most sources of literature, surgical treatment is considered. The gold standard in the surgical treatment of the disease does not exist today, and the methods and tactics of treatment are being improved.