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The Journal of Bone and Joint Surgery 79:1552-5 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Case Report

Pseudarthrosis following Slipped Capital Femoral Epiphysis: Treatment with Reduction with Use of Gradual Distraction. A Case Report*

DROR PALEY, M.D., F.R.C.S.C.{dagger}, BERND FINK, M.D.{ddagger} and JOHN E. HERZENBERG, M.D., F.R.C.S.C.§, BALTIMORE, MARYLAND

Investigation performed at Maryland Center for Limb Lengthening and Reconstruction, Baltimore


   Introduction
 
Pseudarthrosis is a rare complication of slipped capital femoral epiphysis. Traumatic pseudarthrosis of the femoral neck is treated with bone-grafting, osteotomy, and open reduction with internal fixation or with osteotomy alone. Severe slips are treated with closed pinning, epiphyseodesis with bone-grafting, open reduction, or osteotomy. Open reduction is associated with a high risk of avascular necrosis. We are not aware of any guidelines for the treatment of pseudarthrosis following slipped capital femoral epiphysis. The purposes of this report are to present the case of a patient who had this rare condition and to discuss alternative methods of treatment.


   Case Report
 
A twenty-seven-year-old man was seen because of progressive pain in the right hip and a limp. Chronic bilateral slipped capital femoral epiphysis had been diagnosed when the patient was fourteen years old, and it had been treated initially with in situ pinning with one pin in each hip. The pin in the . . . [Full Text of this Article]


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