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The management of slipped capital femoral epiphysis is controversial and evolving as insight into the condition develops. Loder introduced the concept of slip stability and demonstrated a strong association between poor outcome and instability. Almost half of patients with unstable slip developed femoral head osteonecrosis. This has been influential in surgeons’ choice of treatments. Some surgeons have adopted a minimal intervention approach such as pinning in situ or gentle reduction and pinning whereas others advocated an urgent open reduction and stabilization of slip using various surgical techniques. The modified Dunn procedure has rapidly gained popularity as a treatment for unstable slipped capital femoral epiphysis. In this review we analyzed the results and complications following this procedure.