Single-Event Bilateral Modified Dunn Osteotomy for Bilateral Severe SCFE: Restoring Function in a High-Level Athlete
Shalin Shah1, Sasha Carsen, Kevin Smit
1Department of Surgery, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Case:
A 13-year-old competitive basketball player presented with bilateral acute-on-chronic, unstable (1 side) slipped capital femoral epiphysis. He underwent a single-event bilateral modified Dunn capital realignment osteotomy and fixation. At 4 years postsurgery, he has excellent clinical function, has returned to playing competitive basketball, and has good radiological outcomes.
Conclusion:
A single-event bilateral modified Dunn osteotomy is an option for severe bilateral SCFE. Centers with the necessary setup and a dedicated hip team can attempt this procedure. Modified Dunn osteotomy can give rewarding results by restoring the anatomy, as evidenced by the return to competitive sports in the present case.
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