Juvenile unstable severe slip of the proximal femoral epiphysis: case report and review of treatment options
Sponer, P.; Urban, K.
Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 72(5): 313-316
2005
ISSN/ISBN: 0001-5415 PMID: 16316608 Document Number: 589671
The authors present the case of a severe unstable slip of the proximal femoral epiphysis in a 14-year-old boy. A serious metabolic disorder diagnosed in the boy led to postponement of necessary surgical intervention. The primary development of necrosis of the proximal femoral epiphysis during the 6 months following the slip is reported here. A good outcome was eventually achieved by three-plane valgus, flexion and derotational osteotomy of the femur at second-stage surgery. The authors emphasize the prognostic importance of stability assessment in the displaced epiphysis.