Use of Gamma locking nail(®) in tri-planar osteotomy in bilateral severe slipped upper femoral epiphysis: a case study and literature review.
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.
Sharafeldin
K N
KN
Orthopaedic Department, Midland Regional Hospital at Tullamore, Tullamore, Offaly, Republic of Ireland. knsharaf@gmail.com
Butt
A J
AJ
Burke
T
T
D000293:Adolescent; D001858:Bone Nails; D002908:Chronic Disease; D004839:Epiphyses, Slipped / Q000601:surgery*; D005272:Femur Neck; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000295:instrumentation*
J Orthop Trauma. 2009 Jul;23(6):460-4
19550235
Int Orthop. 1999;23(6):337-40
10741518
J Pediatr Orthop. 2000 Nov-Dec;20(6):749-56
11097248
J Pediatr Orthop B. 1999 Jul;8(3):223-30
10399129
J Bone Joint Surg Am. 1973 Sep;55(6):1218-24
4758036
J Bone Joint Surg Am. 1981 Jan;63(1):85-95
7451529
J Pediatr Orthop. 1993 May-Jun;13(3):294-302
8496360
J Am Acad Orthop Surg. 2006 Nov;14(12):666-79
17077339
J Bone Joint Surg Am. 1988 Oct;70(9):1422-7
3053724
J Bone Joint Surg Br. 1992 May;74(3):340-4
1587873