Preoperative Angiography Can Guide Treatment of Post–Femoral Neck Fracture Capital Femoral Physeal Separation and Displacement: A Case Report. Issue 2 (April 2020)

• Record Type: Journal Article
• Authors: McGraw, Jessica; Beaver, Cody; Douthit, Christian; Diab, Michel
• Is Part Of: JBJS case connector. Volume 10:Issue 2(2020)
• Publication Date: 2020-04
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.19.00508
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 13-year, 6-month-old boy sustained a Delbet type III femoral neck fracture with postoperative femoral head avascular necrosis (AVN) and subsequent capital femoral physeal separation (CFPS). Preoperative angiography revealed a patent artery of the ligamentum teres to the femoral head epiphysis, allowing our patient to undergo a modified Dunn procedure to maintain this artery and preserve his native hip. Conclusion: Preoperative angiography allows for real-time identification of femoral head epiphyseal blood supply in patients with femoral head AVN complicated by CFPS and guides surgical treatment for hip preservation.