To Pin a SCFE One Screw is Preferred than Two Screws in Children

Nefihancoro, Udi Heru

Indonesian Journal of Medicine
Vol 5, No 1 (2020)

Background: Slipped capital femoral epi­phy­sis (SCFE) is one of the most frequent hip dis­or­ders in children. SCFE is due to the dis­plac­ement of the epiphysis (femoral head that keeps its location in the acetabulum) relative to the me­taphysis (femoral neck) and shaft at the phy­sic level. Treatment seeks to prevent wor­sen­­ing of epiphyseal slippage on the meta­phy­sis, and percutaneous in situ fixation (ISF) using a single cannulated screw has long shown effi­cacy.Case Presentation: An 11 years old boy pre­sented with diagnosed with slipped capital fe­mo­ral epiphysiolysis of right hip and treated ope­­­ratively with one screw pinning guiding flu­o­­roscopy. Post operatively, from X-Ray eva­lu­a­tion confirmed the proper position without jo­int penetration. Patient is then advised to walk with crutches for gradual weight bearing to full weight bearing after 4 weeks. Then after 6 weeks, patient had already walked normally again.Conclusion: In unstable moderate-to-severe SCFE, the best reduction indications and tech­ni­­que remain controversial. There are many the­­ories supporting one or two screws pinning tech­­nique. In this case we used one screw pin­ning fixation with excellent result.Keywords: slipped capital femoral epiphysis, treatment, one screw in situ fixationCorrespondence: Udi Heru Nefihancoro. Department of Orth­o­pae­dic and Traumatology, Dr. Moewardi Hos­pi­tal/ Faculty of Medicine, Universitas Sebelas Ma­ret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email:udyhe­runefy@ymail.­com. Mo­bile: [phone].Indonesian Journal of Medicine (2020), 5(1): 24-30https://doi.org/10.26911/theijmed.2020.05.01.04