{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:34Z","timestamp":1787755654380,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00223","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T12:44:09Z","timestamp":1590669849000},"page":"e0223-e0223","source":"Crossref","is-referenced-by-count":1,"title":["Fixator-Assisted Nailing for Managing Slipped Capital Femoral Epiphysis Sequelae: A Novel Technique"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5769-3846","authenticated-orcid":false,"given":"Majdi","family":"Hashem","sequence":"first","affiliation":[{"name":"Department of Orthopedics, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0822-1118","authenticated-orcid":false,"given":"Raheef","family":"Alatassi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"suppl 431","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/03655950410009733","article-title":"Slipped capital femoral epiphysis. The mechanical function of the periosteum: new aspects and theory including bilaterality","volume":"45","author":"Billing","year":"2004","journal-title":"Acta Radiol Suppl."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"667","DOI":"10.2106\/00004623-199173050-00004","article-title":"Long-term follow-up of slipped capital femoral epiphysis","volume":"73","author":"Carney","year":"1991","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/BPB.0000000000000019","article-title":"Idiopathic chondrolysis of the hip: presentation, natural history and treatment options","volume":"23","author":"Segaren","year":"2014","journal-title":"J Pediatr Orthop B."},{"issue":"3","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s11751-013-0178-3","article-title":"Valgus osteotomy by external fixation for treatment for developmental coxa vara","volume":"8","author":"Hefny","year":"2013","journal-title":"Strategies Trauma Limb Reconstr."},{"issue":"2","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00004694-199703000-00016","article-title":"Coxa vara: surgical outcomes of valgus osteotomies","volume":"17","author":"Carroll","year":"1997","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1053\/j.oto.2011.01.010","article-title":"Fixator-assisted nailing for correction of long bone deformities","volume":"21","author":"Kocaoglu","year":"2011","journal-title":"Oper Tech Orthop."},{"issue":"1","key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2106\/JBJS.H.00114","article-title":"Fixator-assisted acute femoral deformity correction and consecutive lengthening over an intramedullary nail","volume":"91","author":"Kocaoglu","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1302\/0301-620X.92B1.22637","article-title":"Fixator-assisted nailing and consecutive lengthening over an intramedullary nail for the correction of tibial deformity","volume":"92","author":"Bilen","year":"2010","journal-title":"J Bone Joint Surg Br."},{"issue":"10","key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"1464","DOI":"10.2106\/00004623-199710000-00003","article-title":"Femoral lengthening over an intramedullary nail. A matched-case comparison with Ilizarov femoral lengthening","volume":"79","author":"Paley","year":"1997","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s11751-012-0144-5","article-title":"Does the use of an intramedullary nail alter the duration of external fixation and rate of consolidation in tibial lengthening procedures? A systematic review","volume":"7","author":"Jain","year":"2012","journal-title":"Strategies Trauma Limb Reconstr."},{"key":"bib12-20230720","doi-asserted-by":"crossref","DOI":"10.1097\/BOT.0000000000000321","article-title":"Fixator-assisted femoral lengthening following intramedullary exchange nailing for subtrochanteric non-union","author":"Liporace","year":"2015","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1186\/s12891-017-1857-x","article-title":"Subtrochanteric shortening osteotomy during cementless total hip arthroplasty in young patients with severe developmental dysplasia of the hip","volume":"18","author":"Wang","year":"2017","journal-title":"BMC Musculoskelet Disord."},{"issue":"3","key":"bib14-20230720","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/s00776-011-0049-z","article-title":"Cemented total hip arthroplasty with subtrochanteric femoral shortening transverse osteotomy for severely dislocated hips: outcome with a 3-to 10-year follow-up period","volume":"16","author":"Akiyama","year":"2011","journal-title":"J Orthop Sci."},{"issue":"1","key":"bib15-20230720","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1186\/s12891-019-2612-2","article-title":"The causes and management of nonunion of femoral subtrochanteric shortening osteotomy in a THA patient: a case report","volume":"20","author":"Gong","year":"2019","journal-title":"BMC Musculoskelet Disord."},{"issue":"6","key":"bib16-20230720","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/j.injury.2011.05.031","article-title":"Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures\u2014a review","volume":"43","author":"Kokoroghiannis","year":"2012","journal-title":"Injury."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:46:37Z","timestamp":1787751997000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00223"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00223","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}