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Advances in Orthopedics
Volume 2011, Article ID 809136, 4 pages
http://dx.doi.org/10.4061/2011/809136
Case Report

Subtrochanteric Femur Fracture after Slipped Capital Femoral Epiphysis Pinning: A Novel Treatment

1Department of Orthopedic Surgery, Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228, USA
2Department of Orthopedic Surgery, Grant Medical Center, 285 East State Street, Suite 500, Columbus, OH 43215, USA
3Department of Orthopedic Surgery, Nationwide Children’s Hospital, 479 Parsons Avenue, Columbus, OH 43215, USA

Received 30 May 2010; Revised 1 September 2010; Accepted 10 November 2010

Academic Editor: Boris Zelle

Copyright © 2011 Michael Paloski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.