Fixator-Assisted Nailing for Managing Slipped Capital Femoral Epiphysis Sequelae: A Novel Technique

Abstract

Case: An 18-year-old man with a slipped capital femoral epiphysis treated within in situ screw fixation 5 years earlier presented to our clinic with hip pain, limping, and limited range of motion (ROM) of the left hip. Fixator-assisted nailing (FAN) accompanied by double femoral osteotomies was performed to treat the proximal femoral deformity. At follow-up, the patient had regained full ROM and acceptable alignment of the left lower limb. Conclusion: The FAN approach effectively manages proximal femoral deformities in select patients. It requires careful analysis of the deformity, meticulous preoperative planning, and surgeons familiar with both intramedullary nailing and external fixation techniques.