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Bilateral Proximal Femur Interval Fractures with a Slipped Femoral Capital Epiphysis After Fixation: A Case Report
Oliver Richard Boughton1, Shamsher Mann, Patrick O'Toole
1Department of Orthopaedic Surgery, Children's Health Ireland at Crumlin, Dublin, Ireland.
Case:
This case report, with 3 years of follow-up, describes a 9-year-old boy who suffered sequential Delbet type IV proximal femoral fractures. Three months postoperatively he had a unilateral slipped capital femoral epiphysis and had to undergo further surgery to address this.
Conclusion:
Proximal femur fractures are rare in childhood, and a slipped capital femoral epiphysis after fixation of a Delbet type 4 fracture has only been described once before in the literature. This case report highlights underlying risk factors of subsequent slipped capital femoral epiphysis after a Delbet type IV proximal femoral fracture and emphasizes the importance of careful follow-up.
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