The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Management of Slipped Capital Femoral Epiphysis (SCFE) on Top of Fixed Fracture Neck of Femur (Case Report)

Document Type : CASE REPORT

Authors
Hesham Mohamed Elbaseet
Mohamed Abdelhady Abdelzaher
Pediatric Orthopedic Unit, Orthopedic and Traumatology Department, Assiut University, Egypt
10.22038/abjs.2023.71908.3355
Abstract
The incidence of Slipped capital femoral epiphysis (SCFE) after management of femoral neck fracture 
in pediatrics is very rare. In this case report, a nine-year-old female child sustained left sided femur 
neck fracture after a motor car accident. The fracture was fixed by two cannulated screws and healing 
with mild varus occurred after six weeks. However, progressive slippage of femoral epiphysis was 
observed. This was treated by subtrochanteric valgus osteotomy and fixed by tension band and Wagner 
technique. Better radiological and functional outcomes were obtained at the short term follow up.
 Level of evidence: V
Keywords
Coxa vara
Fracture neck of femur
SCFE
Slipped capital femoral epiphysis
Valgus osteotomy
Wagner technique
Subjects
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The Archives of Bone and Joint Surgery
Volume 11, Issue 7
July 2023
Pages 473-475

  • Receive Date 21 April 2023
  • Revise Date 04 May 2023
  • Accept Date 10 June 2023