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Management of Cannulated Screw Failure and Recurrent SCFE Displacement - Case Report.
Nathan A Jacobson1, Siegfried P Feierabend1, Christopher L Lee1
1Department of Orthopaedics Wayne State University Orthopaedics.
Journal of Orthopaedic Case Reports
|June 15, 2016
Summary
A slipped capital femoral epiphysis (SCFE) complication involving screw breakage can be managed percutaneously. This technique uses specialized instruments to avoid more invasive surgical interventions for SCFE treatment.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
Background:
- Slipped capital femoral epiphysis (SCFE) is a hip condition affecting adolescents.
- Percutaneous screw fixation is a common SCFE treatment, but complications require further elucidation.
Observation:
- A case of traumatic unstable SCFE treated with a single screw experienced hardware failure and deformity recurrence.
- The fractured screw was successfully removed using specialized extraction tools.
Findings:
- The complication was managed with closed reduction and extraction of the broken screw.
- Revision fixation with three transphyseal screws resulted in physis fusion and no avascular necrosis at 9 months.
Implications:
- Percutaneous management of SCFE screw breakage is feasible with specialized instruments.
- This approach can prevent complications associated with more invasive revision surgeries.
