Fixator-Assisted Nailing for Managing Slipped Capital Femoral Epiphysis Sequelae: A Novel Technique: A Case Report

An 18-year-old man with a slipped capital femoral epiphysis treated within in situ screw fixation 5 years earlier presented to our clinic with hip pain, limping, and limited range of motion (ROM) of the left hip. Fixator-assisted nailing (FAN) accompanied by double femoral osteotomies was performed...

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Detalles Bibliográficos
Autores principales: Hashem, Majdi, Alatassi, Raheef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Bone and Joint Surgery, Inc. 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7360103/
https://www.ncbi.nlm.nih.gov/pubmed/32649119
http://dx.doi.org/10.2106/JBJS.CC.19.00223
Descripción
Sumario:An 18-year-old man with a slipped capital femoral epiphysis treated within in situ screw fixation 5 years earlier presented to our clinic with hip pain, limping, and limited range of motion (ROM) of the left hip. Fixator-assisted nailing (FAN) accompanied by double femoral osteotomies was performed to treat the proximal femoral deformity. At follow-up, the patient had regained full ROM and acceptable alignment of the left lower limb. CONCLUSION: The FAN approach effectively manages proximal femoral deformities in select patients. It requires careful analysis of the deformity, meticulous preoperative planning, and surgeons familiar with both intramedullary nailing and external fixation techniques.

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