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Pak J Med Sci. 2020 Jan;36(1):S94-S97. doi: 10.12669/pjms.36.ICON-Suppl.1725.

Slipped capital femoral epiphysis after treatment of femoral neck fracture.

Pakistan journal of medical sciences

Muhammad Amin Chinoy, Sateesh Pal, Mansoor Ali Khan

Affiliations

  1. Muhammad Amin Chinoy, FRCS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.
  2. Sateesh Pal, FCPS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.
  3. Mansoor Ali Khan, FCPS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.

PMID: 31933615 PMCID: PMC6943107 DOI: 10.12669/pjms.36.ICON-Suppl.1725

Abstract

Slipped capital femoral epiphysis (SCFE) in children after treatment of femoral neck fracture is a very rare condition. This complication should be recognized promptly and treated urgently. The risk of development of this complication can be minimized by anatomical reduction of the fracture and stable internal fixation of the fracture. Five years old male child sustained right sided femur neck fracture and was treated with closed reduction and Hip spica cast application. The fracture healed with a varus deformity. After 7 months, he developed slip of femoral epiphysis with a coxa vara deformity of proximal femur, which was treated with in situ fixation with Cannulated screws. His subsequent course remained uneventful up to five months. Slipped capital femoral epiphysis (SCFE) after treatment of femoral neck fracture in children is a rare complication that should be recognized and treated promptly. The onset of SCFE may show inadequate reduction or fixation of the fracture. Anatomic reduction and stable internal fixation for femoral neck fracture in children provides best outcomes. Postoperative care and delayed weight bearing are also equally important to avoid complications.

Copyright: © Pakistan Journal of Medical Sciences.

Keywords: Avascular necrosis; Coxa vara; Femur neck fracture; Slipped capital femoral epiphysis

Conflict of interest statement

Conflict of Interest: None.

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