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In Situ Fixation Of Slipped Capital Femoral Epiphysis

WHAT YOU NEED TO KNOW:

In situ fixation is surgery to fix your child's slipped capital femoral epiphysis (SCFE). A screw or wires will be used to hold the epiphysis (head) of the femur (thighbone) in place.

DISCHARGE INSTRUCTIONS:

Seek care immediately if:

  • Your child has severe pain, even after he or she takes medicine.

Contact your child's healthcare provider if:

  • Your child has a fever or chills.
  • Your child's incision wound is red, warm, or draining fluid.
  • You have questions or concerns about your child's condition or care.

Medicines:

Your child may need any of the following:

  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
  • Prescription pain medicine may be given. Ask how to safely give this medicine to your child.
  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
  • Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Care for your child:

  • Ask about activity. Ask when your child can return to his or her daily activities, such as school and sports.
  • Use support devices as directed. Your child will need to use crutches for 4 to 6 weeks after surgery. It is important to use crutches correctly. Ask your child's healthcare provider for more information about how to use crutches, if needed. Your child may instead need to use a wheel chair if surgery was done on both hips.
  • Take your child to physical therapy as directed. A physical therapist teaches your child exercises to help improve movement and strength, and to decrease pain.

Follow up with your child's healthcare provider as directed:

Your child may need to return for x-rays every 3 to 6 months until his bones mature. His or her other leg may also need to be checked for SFCE. Write down your questions so you remember to ask them during your visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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