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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v22.i1.30
pages 17-20

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

Raghavendra Prasad Sidaginamale
Trauma and Orthopaedic Department, Prince Charles Hospital, Merthyr Tydfil; Department of Orthopaedics, Croydon University Hospital, Surrey; Metal on Metal Research Department, North Tees University Hospital, Stockton on Tees, United Kingdom
P. Fadero
Department of Orthopaedics, Croydon University Hospital, Surrey, United Kingdom
Alexandros P. Apostolopoulos
Trauma and Orthopaedics Department, East Surrey Hospital, Surrey and Sussex Healthcare NHS Trust, United Kingdom
L. Zolcze
Department of Orthopaedics, Croydon University Hospital, Surrey, United Kingdom

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.