E-ISSN 2146-8370


Progress in Orthopedic Science. 2020; 6(1):(37-52)


Epiphysiodesis Screw Thread Damage and Migration

Kunegel Edouard*, Sohm Lucile, Castelein Sybille, Ninulescu Cristian, Kaleeta Jean-Paul, De Borre Ludo, Bellemans Michel

Abstract

Percutaneous femoral distal epiphysiodesis using transphyseal cannulated screws is commonly used for correcting anisomelia and angular deformity in adolescent patients.

Method: We report a case of previously unreported complication using cannulated screws: The thread being damaged, the screw failed to block growth in the physis showed by the releasing of a metal filament in the bone marrow after the screw's removal.

Results: The patient showed a limb length discrepancy necessitating a surgical correction. The screw thread was damaged by the other device releasing a metal filament lodged in the bone marrow. The metal filament was released during the first operative gesture for Patient A, whereas it occurred on the removal of the hardwire on the other example.

Images:

Conclusion: This report illustrates an uncommon complication using transphyseal screws inherent to the Metaizeau surgical technique.

Most Viewed Article
  • The Incidence of Opioid Use in Patients Undergoing Orthopaedic Oncology Surgery
    Sheena J Amin1 MD, Alec S Kellish2 MD, David Le3 DO, John P Gaughan4 MS PhD MBA, Tae Won B Kim4 MD, Christina J Gutowski4 MD MPH
    » Abstract » doi: 10.47363/POS/20211016

  • Ventral Osteochondroma of the Scapula Causing Snapping and Static Winging- A Case Report
    Pranav Kothiyal1*,Kunal Vij2, Puneet Gupta3, Nirvin Paul4 and Rahul Bindal5
    » Abstract » doi: 10.47363/POS/20211015

  • Exercise-induced Staphylococcus Aureus Pyomyositis of the Shoulder and Septic Oligoarthritis of the Pelvis
    Marcel T Ghanim1, Zhang Kevin 2, Caytlin Deering3, Ganesh Prasad Merugu4 and Mamtha Balla5*
    » Abstract » doi: 10.47363/POS/20211014

  • Big Daddy Paleskin
    Mister Seun Ayoade
    » Abstract » doi: 10.47363/POS/20211013

  • Neck and Intertrochanteric Femur Fracture in Elderly in Emergency Department at Medical City
    Hussein Kzar Basi Al-Shamri1* and Waleed A Abdulwahid2
    » Abstract » doi: 10.47363/POS/20211012

Most Downloaded
  • The Incidence of Opioid Use in Patients Undergoing Orthopaedic Oncology Surgery
    Sheena J Amin1 MD, Alec S Kellish2 MD, David Le3 DO, John P Gaughan4 MS PhD MBA, Tae Won B Kim4 MD, Christina J Gutowski4 MD MPH
    » Abstract » doi: 10.47363/POS/20211016

  • Ventral Osteochondroma of the Scapula Causing Snapping and Static Winging- A Case Report
    Pranav Kothiyal1*,Kunal Vij2, Puneet Gupta3, Nirvin Paul4 and Rahul Bindal5
    » Abstract » doi: 10.47363/POS/20211015

  • Exercise-induced Staphylococcus Aureus Pyomyositis of the Shoulder and Septic Oligoarthritis of the Pelvis
    Marcel T Ghanim1, Zhang Kevin 2, Caytlin Deering3, Ganesh Prasad Merugu4 and Mamtha Balla5*
    » Abstract » doi: 10.47363/POS/20211014

  • Big Daddy Paleskin
    Mister Seun Ayoade
    » Abstract » doi: 10.47363/POS/20211013

  • Neck and Intertrochanteric Femur Fracture in Elderly in Emergency Department at Medical City
    Hussein Kzar Basi Al-Shamri1* and Waleed A Abdulwahid2
    » Abstract » doi: 10.47363/POS/20211012