Hit the bull’s eye: how to avoid the need for frequent screw replacement in proximal femoral hemiepiphysiodesis for hip subluxation in cerebral palsy

Case Report and Technical Note

Abstract

Proximal femoral hemiepiphysiodesis for treating hip subluxation in children with cerebral palsy has gained popularity over the past decade. Recent studies have shown a change in the natural history of subluxation compared to the isolated soft tissue approach. Despite this, there are controversies among surgeons regarding the optimal screw positioning to avoid complications, achieve the best outcomes, and reduce the need for frequent implant replacements. We report the case of a patient who underwent proximal femoral hemiepiphysiodesis and describe the surgical technique in detail to help pediatric orthopedic surgeons enhance their skills in performing this procedure.