In Situ Fixation and Intertrochanteric Osteotomy for Severe Slipped Capital Femoral Epiphysis Following Femoral Neck Fracture: A Case Report with Application of Virtual Surgical Planning and 3D-Printed Patient-Specific Instruments
: Femoral neck fractures are rare but serious injuries in children and adolescents, often resulting from high-energy trauma and prone to complications like avascular necrosis (AVN) and nonunion. Even rarer is the development of slipped capital femoral epiphysis (SCFE) following femoral neck fracture...
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| Veröffentlicht in: | Journal of personalized medicine 2025-01, Vol.15 (1), p.13 |
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| creator | Trisolino, Giovanni Menozzi, Grazia Chiara Depaoli, Alessandro Schmidt, Olaf Stefan Ramella, Marco Viotto, Marianna Todisco, Marco Mosca, Massimiliano Rocca, Gino |
| description | : Femoral neck fractures are rare but serious injuries in children and adolescents, often resulting from high-energy trauma and prone to complications like avascular necrosis (AVN) and nonunion. Even rarer is the development of slipped capital femoral epiphysis (SCFE) following femoral neck fracture, which presents unique diagnostic and treatment challenges. SCFE can destabilize the femoral head, with severe cases requiring complex surgical interventions.
: This report details a case of a 15-year-old male with autism spectrum disorder (ASD) who developed severe SCFE one month after treatment for a Delbet type III femoral neck fracture. The condition was managed with an Imhäuser intertrochanteric osteotomy (ITO), in situ fixation (ISF), and osteochondroplasty (OChP), supported by virtual surgical planning (VSP) and 3D-printed patient-specific instruments (PSIs) for precise correction and fixation.
: The surgery was completed without complications. Six months after the operation, the patient exhibited a pain-free, mobile hip with radiographic evidence of fracture healing and no signs of AVN. Functional outcomes were favorable despite rehabilitation challenges due to ASD.
: The Imhäuser ITO, combined with ISF and OChP, effectively addressed severe SCFE after femoral neck fracture, minimizing AVN risk. VSP and PSIs enhanced surgical accuracy and efficiency, demonstrating their value in treating rare and complex pediatric orthopedic conditions. |
| doi_str_mv | 10.3390/jpm15010013 |
| format | Article |
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: This report details a case of a 15-year-old male with autism spectrum disorder (ASD) who developed severe SCFE one month after treatment for a Delbet type III femoral neck fracture. The condition was managed with an Imhäuser intertrochanteric osteotomy (ITO), in situ fixation (ISF), and osteochondroplasty (OChP), supported by virtual surgical planning (VSP) and 3D-printed patient-specific instruments (PSIs) for precise correction and fixation.
: The surgery was completed without complications. Six months after the operation, the patient exhibited a pain-free, mobile hip with radiographic evidence of fracture healing and no signs of AVN. Functional outcomes were favorable despite rehabilitation challenges due to ASD.
: The Imhäuser ITO, combined with ISF and OChP, effectively addressed severe SCFE after femoral neck fracture, minimizing AVN risk. VSP and PSIs enhanced surgical accuracy and efficiency, demonstrating their value in treating rare and complex pediatric orthopedic conditions.</description><identifier>ISSN: 2075-4426</identifier><identifier>EISSN: 2075-4426</identifier><identifier>DOI: 10.3390/jpm15010013</identifier><identifier>PMID: 39852205</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Autism ; Avascular necrosis ; Bone healing ; Bone surgery ; Case Report ; Case reports ; Closed reduction ; Design ; Epiphysis ; Femur ; Fractures ; Injuries ; Necrosis ; Nonunion ; Osteotomy ; Patients ; Pediatrics ; Planning ; Transplants & implants ; Trauma</subject><ispartof>Journal of personalized medicine, 2025-01, Vol.15 (1), p.13</ispartof><rights>2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2025 by the authors. 2025</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2133-672f0cf89c5c29548ab8d07bd6927eca97237e3507c2b9e2c771a4c2645aae073</cites><orcidid>0009-0006-3757-1212 ; 0000-0003-3216-8046 ; 0000-0002-4197-2426 ; 0009-0006-7368-4935 ; 0000-0002-0361-9920</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11766527/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11766527/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39852205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trisolino, Giovanni</creatorcontrib><creatorcontrib>Menozzi, Grazia Chiara</creatorcontrib><creatorcontrib>Depaoli, Alessandro</creatorcontrib><creatorcontrib>Schmidt, Olaf Stefan</creatorcontrib><creatorcontrib>Ramella, Marco</creatorcontrib><creatorcontrib>Viotto, Marianna</creatorcontrib><creatorcontrib>Todisco, Marco</creatorcontrib><creatorcontrib>Mosca, Massimiliano</creatorcontrib><creatorcontrib>Rocca, Gino</creatorcontrib><title>In Situ Fixation and Intertrochanteric Osteotomy for Severe Slipped Capital Femoral Epiphysis Following Femoral Neck Fracture: A Case Report with Application of Virtual Surgical Planning and 3D-Printed Patient-Specific Instruments</title><title>Journal of personalized medicine</title><addtitle>J Pers Med</addtitle><description>: Femoral neck fractures are rare but serious injuries in children and adolescents, often resulting from high-energy trauma and prone to complications like avascular necrosis (AVN) and nonunion. Even rarer is the development of slipped capital femoral epiphysis (SCFE) following femoral neck fracture, which presents unique diagnostic and treatment challenges. SCFE can destabilize the femoral head, with severe cases requiring complex surgical interventions.
: This report details a case of a 15-year-old male with autism spectrum disorder (ASD) who developed severe SCFE one month after treatment for a Delbet type III femoral neck fracture. The condition was managed with an Imhäuser intertrochanteric osteotomy (ITO), in situ fixation (ISF), and osteochondroplasty (OChP), supported by virtual surgical planning (VSP) and 3D-printed patient-specific instruments (PSIs) for precise correction and fixation.
: The surgery was completed without complications. Six months after the operation, the patient exhibited a pain-free, mobile hip with radiographic evidence of fracture healing and no signs of AVN. Functional outcomes were favorable despite rehabilitation challenges due to ASD.
: The Imhäuser ITO, combined with ISF and OChP, effectively addressed severe SCFE after femoral neck fracture, minimizing AVN risk. VSP and PSIs enhanced surgical accuracy and efficiency, demonstrating their value in treating rare and complex pediatric orthopedic conditions.</description><subject>Autism</subject><subject>Avascular necrosis</subject><subject>Bone healing</subject><subject>Bone surgery</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Closed reduction</subject><subject>Design</subject><subject>Epiphysis</subject><subject>Femur</subject><subject>Fractures</subject><subject>Injuries</subject><subject>Necrosis</subject><subject>Nonunion</subject><subject>Osteotomy</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Planning</subject><subject>Transplants & implants</subject><subject>Trauma</subject><issn>2075-4426</issn><issn>2075-4426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdUk2P0zAQjRCIXS174o4scUFCAX_EccMFVWULlVZsRYFr5DqT1iWxvbazS_8wvwOHLlXBlxnNvHl-T3pZ9pzgN4xV-O3O9YRjgjFhj7JzigXPi4KWj0_6s-wyhB1Ob8IpLfHT7IxVY4v5efZrYdBKxwHN9U8ZtTVImgYtTAQfvVVbOXZaoZsQwUbb71FrPVrBHXhAq047Bw2aSaej7NAceutTvXLabfdBBzS3XWfvtdkcd59B_UBzL1UcPLxD03QcAH0BZ31E9zpu0dS5TquDGNui79rHIR2uBr9J4w4tO2nMSDkqZR_ypddJZIOW6QRMzFcOlG6T5oUJ0Q99moVn2ZNWdgEuH-pF9m1-9XX2Kb---biYTa9zRQljeSloi1U7qRRXtOLFRK4nDRbrpqyoACUrQZkAxrFQdF0BVUIQWShaFlxKwIJdZO8PvG5Y99Co9HcyXTuve-n3tZW6_ndj9Lbe2LuaEFGWnI4Mrx4YvL0dIMS610FBl0yDHULNCK_KSVlVLEFf_gfd2cGb5O8PihNWUJpQrw8o5W0IHtqjGoLrMUP1SYYS-sWpgSP2b2LYbxcfxpI</recordid><startdate>20250101</startdate><enddate>20250101</enddate><creator>Trisolino, Giovanni</creator><creator>Menozzi, Grazia Chiara</creator><creator>Depaoli, Alessandro</creator><creator>Schmidt, Olaf Stefan</creator><creator>Ramella, Marco</creator><creator>Viotto, Marianna</creator><creator>Todisco, Marco</creator><creator>Mosca, Massimiliano</creator><creator>Rocca, Gino</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0006-3757-1212</orcidid><orcidid>https://orcid.org/0000-0003-3216-8046</orcidid><orcidid>https://orcid.org/0000-0002-4197-2426</orcidid><orcidid>https://orcid.org/0009-0006-7368-4935</orcidid><orcidid>https://orcid.org/0000-0002-0361-9920</orcidid></search><sort><creationdate>20250101</creationdate><title>In Situ Fixation and Intertrochanteric Osteotomy for Severe Slipped Capital Femoral Epiphysis Following Femoral Neck Fracture: A Case Report with Application of Virtual Surgical Planning and 3D-Printed Patient-Specific Instruments</title><author>Trisolino, Giovanni ; 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Even rarer is the development of slipped capital femoral epiphysis (SCFE) following femoral neck fracture, which presents unique diagnostic and treatment challenges. SCFE can destabilize the femoral head, with severe cases requiring complex surgical interventions.
: This report details a case of a 15-year-old male with autism spectrum disorder (ASD) who developed severe SCFE one month after treatment for a Delbet type III femoral neck fracture. The condition was managed with an Imhäuser intertrochanteric osteotomy (ITO), in situ fixation (ISF), and osteochondroplasty (OChP), supported by virtual surgical planning (VSP) and 3D-printed patient-specific instruments (PSIs) for precise correction and fixation.
: The surgery was completed without complications. Six months after the operation, the patient exhibited a pain-free, mobile hip with radiographic evidence of fracture healing and no signs of AVN. Functional outcomes were favorable despite rehabilitation challenges due to ASD.
: The Imhäuser ITO, combined with ISF and OChP, effectively addressed severe SCFE after femoral neck fracture, minimizing AVN risk. VSP and PSIs enhanced surgical accuracy and efficiency, demonstrating their value in treating rare and complex pediatric orthopedic conditions.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39852205</pmid><doi>10.3390/jpm15010013</doi><orcidid>https://orcid.org/0009-0006-3757-1212</orcidid><orcidid>https://orcid.org/0000-0003-3216-8046</orcidid><orcidid>https://orcid.org/0000-0002-4197-2426</orcidid><orcidid>https://orcid.org/0009-0006-7368-4935</orcidid><orcidid>https://orcid.org/0000-0002-0361-9920</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Autism Avascular necrosis Bone healing Bone surgery Case Report Case reports Closed reduction Design Epiphysis Femur Fractures Injuries Necrosis Nonunion Osteotomy Patients Pediatrics Planning Transplants & implants Trauma |
| title | In Situ Fixation and Intertrochanteric Osteotomy for Severe Slipped Capital Femoral Epiphysis Following Femoral Neck Fracture: A Case Report with Application of Virtual Surgical Planning and 3D-Printed Patient-Specific Instruments |
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