title: Use of Gamma locking nail(®) in tri-planar osteotomy in bilateral severe slipped upper femoral epiphysis: a case study and literature review.
abstract: BACKGROUND
  Slipped upper femoral epiphysis (SUFE) is a common condition affecting adolescent boys and girls. It is classified as acute, chronic or acute on chronic. The slip can be mild, moderate or severe.
  
  
  METHODS
  We present a case of chronic severe SUFE in a 16-year-old male with significant fixed bilateral deformities requiring osteotomy of proximal femur and stabilisation with short locking Gamma nail(®). To our knowledge, this device has not been used in stabilisation of osteotomies in chronic SUFE.
  
  
  CONCLUSIONS
  The purpose of this paper is to describe the results of our fixation method and also to increase the awareness in orthopaedic surgeon about the usefulness of Gamma locking nail(®) in these difficult situations.
authors.affiliation: Orthopaedic Department, Midland Regional Hospital at Tullamore, Tullamore, Offaly, Republic of Ireland. knsharaf@gmail.com
authors.forename: K N
authors.initials: KN
authors.lastname: Sharafeldin
authors.forename: A J
authors.initials: AJ
authors.lastname: Butt
authors.forename: T
authors.initials: T
authors.lastname: Burke
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D002908:Chronic Disease; D004839:Epiphyses, Slipped / Q000601:surgery*; D005272:Femur Neck; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000295:instrumentation*
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