What is the primary goal of surgery for hip conditions such as SCFE?

• A. Restore full strength without stabilization
• B. Replace the hip joint
• C. Stabilize the femoral head and prevent further slippage.
• D. Improve circulation to the femoral head

Answer: (C)

The main point is to stop the slip before it gets worse. In SCFE, the femoral head is slipping through the growth plate, and the priority of surgery is to stabilize that head so the slip cannot progress. By fixing the epiphysis in place (in-situ pinning or screw fixation), the femoral head is held steady relative to the neck, allowing the growth plate to heal and preventing deformity, impingement, and further disruption of blood supply. This approach preserves the native hip and is preferred in adolescents rather than replacing the joint.

Restoring full strength right away and replacing the hip are not the immediate goals in most SCFE cases. Rehabilitation helps regain strength after stabilization, and hip replacement is considered only for severe or failed cases later in life. While preserving circulation to the femoral head is important and stabilization helps protect blood supply, the central aim is preventing further displacement by stabilizing the head.