title: Dynamic condylar screw as a solution to operative dilemma in early sub-trochanteric fracture following cannulated screw fixation for slipped capital femoral epiphysis: a case report.
abstract: A 14-year-old boy presented with a 2-month history of left groin pain and a limp on the left side. Radiographs confirmed slipped capital femoral epiphysis (SCFE) of the left hip. The surgical procedure he received used a single, 8-mm, partially threaded, cannulated screw. Postoperatively he was advised to remain strictly non-weight bearing on the affected lower limb until physeal closure was achieved. Unfortunately, he fell down 4 weeks postoperatively and sustained a subtrochanteric fracture on the same hip, with the cannulated screw still in place. This injury was surgically treated using a dynamic condylar screw and a side plate.
authors.affiliation: Department of Orthopaedics, Croydon University Hospital, Surrey, UK. sidaginamale@doctors.org.uk
authors.forename: Raghavendra Prasad
authors.initials: RP
authors.lastname: Sidaginamale
authors.forename: P
authors.initials: P
authors.lastname: Fadero
authors.forename: Alexandros P
authors.initials: AP
authors.lastname: Apostolopoulos
authors.forename: L
authors.initials: L
authors.lastname: Zolcze
mesh_terms: D000058:Accidental Falls; D000293:Adolescent; D001860:Bone Plates; D001863:Bone Screws; D004839:Epiphyses, Slipped / Q000601:surgery*; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D017102:Fracture Healing; D006801:Humans; D008297:Male; D011184:Postoperative Period; D011859:Radiography