Slipped capital femoral epiphysis is a common injury suffered by adolescents
worldwide. Treatment of most slips can be accomplished by percutaneous screw fixation, as this is an accepted and proven method associated with minimal morbidity. Complications, although limited, can be problematic for both the patient and treating physician. These include avascular necrosis, chondrolysis, infection, and fracture. We report a case of an individual who sustained a subtrochanteric femure fracture three weeks after in situ pinning of his left hip treated with a reconstruction intramedullary nail. This option allowed both the subtrochanteric fracture and SCFE to be treated concomitantly with minimized morbidity.
All three screw types from all three manufacturers appear to be mechanically reliable, with the proper insertion to failure torque ratio. The surgeon's choice of implant should be based on other considerations.
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