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Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report
INTRODUCTION: SCFE occurs in 10 per 100,000 in some regions of the United States with the incidence continuing to increase. Percutaneous screw fixation is a well-accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature. CASE REPO...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722563/ https://www.ncbi.nlm.nih.gov/pubmed/27298941 http://dx.doi.org/10.13107/jocr.2250-0685.144 |
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author | Jacobson, Nathan A Feierabend, Siegfried P Lee, Christopher L |
author_facet | Jacobson, Nathan A Feierabend, Siegfried P Lee, Christopher L |
author_sort | Jacobson, Nathan A |
collection | PubMed |
description | INTRODUCTION: SCFE occurs in 10 per 100,000 in some regions of the United States with the incidence continuing to increase. Percutaneous screw fixation is a well-accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature. CASE REPORT: We describe a case where a traumatic unstable SCFE that was initially treated with closed reduction and fixation with a single transphyseal screw went on to hardware failure with recurrence of the deformity. The complication was successfully treated with closed reduction and re-cannulating the fractured screw within the epiphysis and extracting it using a conical extraction screw commonly referred to as an “easy out.” Three trans physeal screws were then placed for improved fixation strength. Follow-up at 9 months demonstrates a fused physis and no signs of avascular necrosis of the femoral head. CONCLUSION: Percutaneous management of SCFE screw breakage is possible utilizing specialized instruments and a precise and gentle manipulation preventing the need for more invasive treatments with their obligatory potential complications profile. |
format | Online Article Text |
id | pubmed-4722563 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-47225632016-06-13 Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report Jacobson, Nathan A Feierabend, Siegfried P Lee, Christopher L J Orthop Case Reports Case Report INTRODUCTION: SCFE occurs in 10 per 100,000 in some regions of the United States with the incidence continuing to increase. Percutaneous screw fixation is a well-accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature. CASE REPORT: We describe a case where a traumatic unstable SCFE that was initially treated with closed reduction and fixation with a single transphyseal screw went on to hardware failure with recurrence of the deformity. The complication was successfully treated with closed reduction and re-cannulating the fractured screw within the epiphysis and extracting it using a conical extraction screw commonly referred to as an “easy out.” Three trans physeal screws were then placed for improved fixation strength. Follow-up at 9 months demonstrates a fused physis and no signs of avascular necrosis of the femoral head. CONCLUSION: Percutaneous management of SCFE screw breakage is possible utilizing specialized instruments and a precise and gentle manipulation preventing the need for more invasive treatments with their obligatory potential complications profile. Indian Orthopaedic Research Group 2014 /pmc/articles/PMC4722563/ /pubmed/27298941 http://dx.doi.org/10.13107/jocr.2250-0685.144 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Jacobson, Nathan A Feierabend, Siegfried P Lee, Christopher L Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report |
title | Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report |
title_full | Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report |
title_fullStr | Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report |
title_full_unstemmed | Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report |
title_short | Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report |
title_sort | management of cannulated screw failure and recurrent scfe displacement – case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722563/ https://www.ncbi.nlm.nih.gov/pubmed/27298941 http://dx.doi.org/10.13107/jocr.2250-0685.144 |
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