Treatment of slipped capital femoral epiphysis resulting from juvenile renal osteodystrophy.
Severe bilateral slipped capital femoral epiphysis (SCFE) secondary to renal osteodystrophy is infrequent at any age. Management was a significant dilemma in the 3-year-old child we report because of the degree of slippage and our concern over the sequelae of premature capital physeal closure. Fixation without physeal closure was obtained by inserting a specially fabricated screw without threads across the physis after the slippage had been reduced with traction.
Hartjen
C A
CA
Department of Orthopedic Surgery, Wake Forest University Medical Center, Winston-Salem, North Carolina 27103.
Koman
L A
LA
D001863:Bone Screws; D002675:Child, Preschool; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000150:complications*; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005270:Femur Head; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011859:Radiography