Surgical dislocation and proximal femoral osteotomy in an 18 year old male with severe residual SCFE deformity

History and Evaluation: 18 year old male presented with worsening left hip pain. Physical exam showed decreased range of motion and he walked with a moderate limp.

X rays showed evidence of an untreated SCFE (slipped capital femoral epiphysis) as well as a bony prominence (arrow) along the femoral neck resulting in severe left hip impingement.

Pre OP Surgical dislocation and proximal femoral osteotomy in an 18 year old male with severe residual SCFE deformity

Pre OP Surgical dislocation and proximal femoral osteotomy in an 18 year old male with severe residual SCFE deformity

Treatment: Treatment included a left hip surgical dislocation with femoral osteotomy, trochanteric advancement and partial labral resection to correct the impingement deformity (arrow) and address the labrum.

Post OP Surgical dislocation and proximal femoral osteotomy in an 18 year old male with severe residual SCFE deformity

Pre OP Surgical dislocation and proximal femoral osteotomy in an 18 year old male with severe residual SCFE deformity

Outcome: Patient is pain free one year after surgery with improved range of motion.  He has no limp and is unrestricted in his activities.

 

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