0
Case Reports   |    
Pseudarthrosis following Slipped Capital Femoral Epiphysis: Treatment with Reduction with Use of Gradual Distraction. A Case Report*
DROR PALEY, M.D., F.R.C.S.C.†; BERND FINK, M.D.‡; JOHN E. HERZENBERG, M.D., F.R.C.S.C.§, BALTIMORE, MARYLAND
View Disclosures and Other Information
Investigation performed at Maryland Center for Limb Lengthening and Reconstruction, Baltimore
J Bone Joint Surg Am, 1997 Oct 01;79(10):1552-5
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Pseudarthrosis is a rare complication of slipped capital femoral epiphysis. Traumatic pseudarthrosis of the femoral neck is treated with bone-grafting, osteotomy, and open reduction with internal fixation or with osteotomy alone. Severe slips are treated with closed pinning, epiphyseodesis with bone-grafting, open reduction, or osteotomy. Open reduction is associated with a high risk of avascular necrosis. We are not aware of any guidelines for the treatment of pseudarthrosis following slipped capital femoral epiphysis. The purposes of this report are to present the case of a patient who had this rare condition and to discuss alternative methods of treatment.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    12/04/2013
    New York - Icahn School of Medicine at Mount Sinai
    12/31/2013
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    04/02/2014
    W. Virginia - Charleston Area Medical Center
    02/28/2014
    District of Columbia (DC) - Children's National Medical Center