© Copyright 2026 American Medical Association. All rights reserved.
A slipped capital femoral epiphysis (SCFE) is a condition that primarily affects adolescents, characterized by the displacement of the growth plate located just beneath the femoral head. This displacement occurs in a backward direction, which can happen gradually over time or suddenly due to trauma. The condition can lead to significant complications if not treated appropriately, as it can affect hip function and growth. The procedure described by CPT® Code 27178 involves the open treatment of SCFE through closed manipulation, which includes the use of one or more pins to stabilize the femoral head and neck after realignment. This method aims to restore the anatomical position of the femoral head, ensuring proper hip function and minimizing the risk of further slippage or complications. The surgical approach typically involves making a lateral incision over the hip joint, allowing for the necessary exposure and manipulation of the femur to achieve the desired alignment. The use of imaging techniques, such as radiographs, is crucial during the procedure to confirm the correct positioning of the femoral head and the placement of pins or screws, ensuring optimal outcomes for the patient.
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