This 11 year old male presented with an unstable, moderately displaced Slipped Capital Femoral Epiphysis (SCFE) of the left femur. The xray shows the appearance of the left femur (on the right on the xray) slipping away from the femoral head. 

Because there is a risk of development of avascular necrosis of the femoral head or early onset degenerative joint disease with a closed reduction (no surgical intervention, just re-aligning then casting) Dr. Jaren Rile felt that surgical dislocation of the hip, re-aligning the femoral neck to the femoral head (reduction of the slip) and then pinning would provide the best opportunity for repair without developing other hip degenerative problems. 

The following x-ray shows the post-operative repair, with 2 pins in the left femoral head and 2 pins as anchors.