Surgical treatment of chronic epifisiolysis with luxation and subcaptal reinforcement: case report

Abstract

Introduction: Femoral epiphyseal slip is a relatively frequent disease in the orthopaedist's activity, presenting good results when operated by the in situ fixation technique. Aim: To report a case of chronic epiphyseal slip treated with controlled dislocation of the femoral head, with local osteosynthesis. Method: After recovery of the major trochanter, Z capsulotomy, growth physis release, bone callus removal, manual correction of the epiphysis deformity, and reduction of the articular joint were performed. Conclusion: Epiphysiolysis remains a major challenge for the orthopedist, since many cases still arrive late with indication of surgery. It is known that epiphysiolysis remains a very common lesion, thus requiring surgical intervention. The Ganz technique provides a surgery that, although open and more invasive when compared to other techniques, presents as an advantage the preservation of the femoral head as well as the maintenance of the local anatomy, nevertheless requiring a greater experience of the surgeon in relation to the local anatomy and vascularization of the femoral head.