{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T09:37:08Z","timestamp":1791020228325,"version":"4.1.0"},"reference-count":51,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"5 \u00d7 1000 2020 funds","award":["2021\/730683"],"award-info":[{"award-number":["2021\/730683"]}]},{"name":"5 \u00d7 1000 2020 funds","award":["2023\/730977"],"award-info":[{"award-number":["2023\/730977"]}]},{"name":"5 \u00d7 1000 2020 funds","award":["2024\/731146"],"award-info":[{"award-number":["2024\/731146"]}]},{"name":"5 \u00d7 1000 2021 funds","award":["2021\/730683"],"award-info":[{"award-number":["2021\/730683"]}]},{"name":"5 \u00d7 1000 2021 funds","award":["2023\/730977"],"award-info":[{"award-number":["2023\/730977"]}]},{"name":"5 \u00d7 1000 2021 funds","award":["2024\/731146"],"award-info":[{"award-number":["2024\/731146"]}]},{"name":"5 \u00d7 1000 2022 funds","award":["2021\/730683"],"award-info":[{"award-number":["2021\/730683"]}]},{"name":"5 \u00d7 1000 2022 funds","award":["2023\/730977"],"award-info":[{"award-number":["2023\/730977"]}]},{"name":"5 \u00d7 1000 2022 funds","award":["2024\/731146"],"award-info":[{"award-number":["2024\/731146"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Femoral neck fractures are rare but serious injuries in children and adolescents, often resulting from high-energy trauma and prone to complications like avascular necrosis (AVN) and nonunion. Even rarer is the development of slipped capital femoral epiphysis (SCFE) following femoral neck fracture, which presents unique diagnostic and treatment challenges. SCFE can destabilize the femoral head, with severe cases requiring complex surgical interventions. Case presentation: This report details a case of a 15-year-old male with autism spectrum disorder (ASD) who developed severe SCFE one month after treatment for a Delbet type III femoral neck fracture. The condition was managed with an Imh\u00e4user intertrochanteric osteotomy (ITO), in situ fixation (ISF), and osteochondroplasty (OChP), supported by virtual surgical planning (VSP) and 3D-printed patient-specific instruments (PSIs) for precise correction and fixation. Discussion: The surgery was completed without complications. Six months after the operation, the patient exhibited a pain-free, mobile hip with radiographic evidence of fracture healing and no signs of AVN. Functional outcomes were favorable despite rehabilitation challenges due to ASD. Conclusions: The Imh\u00e4user ITO, combined with ISF and OChP, effectively addressed severe SCFE after femoral neck fracture, minimizing AVN risk. VSP and PSIs enhanced surgical accuracy and efficiency, demonstrating their value in treating rare and complex pediatric orthopedic conditions.<\/jats:p>","DOI":"10.3390\/jpm15010013","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T11:24:19Z","timestamp":1735730659000},"page":"13","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["In Situ Fixation and Intertrochanteric Osteotomy for Severe Slipped Capital Femoral Epiphysis Following Femoral Neck Fracture: A Case Report with Application of Virtual Surgical Planning and 3D-Printed Patient-Specific Instruments"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0361-9920","authenticated-orcid":false,"given":"Giovanni","family":"Trisolino","sequence":"first","affiliation":[{"name":"Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3216-8046","authenticated-orcid":false,"given":"Grazia Chiara","family":"Menozzi","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7368-4935","authenticated-orcid":false,"given":"Alessandro","family":"Depaoli","sequence":"additional","affiliation":[{"name":"Rizzoli Sicilia Department, IRCCS Istituto Ortopedico Rizzoli, 90011 Bagheria, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olaf Stefan","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Franz Tappeiner Hospital\u2014ASDAA Azienda Sanitaria Alto Adige, 39012 Merano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4197-2426","authenticated-orcid":false,"given":"Marco","family":"Ramella","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Viotto","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Todisco","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"Mosca","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, IRCCS Istituto Ortopedico Rizzoli, 40010 Bentivoglio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3757-1212","authenticated-orcid":false,"given":"Gino","family":"Rocca","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1097\/BOT.0000000000001645","article-title":"Femoral Neck Fractures in Children: Issues, Challenges, and Solutions","volume":"33","author":"Horwitz","year":"2019","journal-title":"J. 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B"}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/15\/1\/13\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T15:22:57Z","timestamp":1759850577000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/15\/1\/13"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,1]]},"references-count":51,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1]]}},"alternative-id":["jpm15010013"],"URL":"https:\/\/doi.org\/10.3390\/jpm15010013","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,1]]}}}