Osteonecrosis of the femoral head complicating prophylactic screw fixation for upper femoral epiphyolysis: case report and literature review

被引：0
|
作者：
Gatchou, Alberic Lionel Kolontchang [1 ,2 ]
Sanguina, Mario [2 ]
Agbelele, Penance [2 ,3 ]
Manga, Alexandre [4 ]
Kikar, Abdoul [2 ]
Ameur, Nourredine [2 ]
Girard, Pierre [2 ,5 ]
Zerkly, Bachar [2 ]
Ibrahima, Farikou [6 ]
机构：
[1] Sorbonne Univ, Paris, France
[2] Grp Hosp Publ Sud Oise, Serv Chirurg Orthoped & Traumatol, Creil, France
[3] Univ Abomey Calavi, Dept Chirurg Orthoped & Traumatol, Cotonou, Benin
[4] Ctr Natl Rehabil Personnes Handicapees, Serv Chirurg Orthopecl & Traumatol, Yaounde, Cameroon
[5] Ctr Hosp Amiens Picardie, Serv Chirurg Orthoped & Traumatol, Amiens, France
[6] Univ Yaounde I, Dept Chirurg Orthoped & Traumatol, Fac Med, Yaounde, Cameroon
来源：
PAN AFRICAN MEDICAL JOURNAL | 2020年 / 37卷
关键词：
Epiphysiolysis; screwing; preventive; osteonecrosis; EPIPHYSIS; ANGLE;
D O I：
10.11604/pamj.2020.37.112.23228
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
The therapeutic approach for the treatment of children with radiologically "normal" hip presenting with epiphysiolysis of the contralateral upper femur is controversial. We here report the case of a 12-year-old boy with osteonecrosis of radiologically "normal" and asymptomatic left femoral head prophylactically fixed due to acute femoral epiphysiolysis of the contralateral hip. Eight months after first surgery, the patient developed symptoms of avascular osteonecrosis of the femoral head. Specific criteria to be used in evaluating the most effective treatment between preventive screw or simple close monitoring exist. Despite these criteria, the risk of osteonecrosis in the "healthy" hip is not zero.
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页码：1 / 9
页数：9
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