slipped capital femoral epiphysis developed after femoral neck fracture sung-teak jung,m.d...

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Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University Hospital

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Page 1: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Slipped Capital Femoral Epiphysis developed

after Femoral Neck Fracture

Sung-Teak Jung,M.D

Department of Orthopaedic surgery

Chonnam National University Hospital

Page 2: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Park O O (11/boy)

Page 3: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

2yr ago

Page 4: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Post Op

Page 5: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

POD 4 months

POD 9 months

Page 6: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University
Page 7: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Discussion points

1. Is the occurrence of the SCFE is related to the fracture of neck? • AVN• Nonunion• Coxa vara• Physeal closure

2. Treatment options!

Page 8: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

2yr ago

Page 9: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University
Page 10: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University
Page 11: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

SCFE (Slipped Capital Femoral epiphysis) follo

wing neck fracture

• ?

• Obesity

• Early weight bearing ambulation

• Progression of Coxa vara

-> Increased Shear Force to Physis

Page 12: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Subtrochanteric valgus osteotomy

& Epiphysiodesis

Page 13: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

After 2nd op 4 months

Before the 2nd OP

Page 14: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

After 2nd op 4 months

Before 2nd op

Page 15: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Last follow up

Page 16: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University
Page 17: Slipped Capital Femoral Epiphysis developed after Femoral Neck Fracture Sung-Teak Jung,M.D Department of Orthopaedic surgery Chonnam National University

Initial pelvis AP

POD 6 months POD 1 year

Postop pelvis AP