Case report of bilateral hip arthritis secondary to failed SCFE treatment

Abstract

Slipped capital femoral epiphysis (SCFE) is a disorder of the adolescent hip. SCFE is characterized by disruption of the proximal femoral physis, leading to the femoral metaphysis displacing anteriorly and externally rotating in relation to the epiphysis. The morphological abnormality created by this condition predisposes the hip to femoroacetabular impingement (FAI) which may lead to increased contact stresses within the hip joint, joint degeneration and arthrosis at a relatively young age. We present a case of 25 years male with bilateral grade 4 hip arthritis with history of failed surgery for slipped capital femoral epiphysis. Treated with bilateral uncemented total hip arthroplasty.At the end of 3 months patient was limp free, able to sit on chair comfortably, no difficulty in using stairs with an improvement of modified harris hip score from 35 to 97.Good functional outcome is achieved in cased of neglected or failed SCFE presenting as a case of secondary hip arthritis. Total hip replacement is ideal method of treatment in such cases.