Using a mild stimulation protocol combined with clomiphene citrate and recombinant follicle-stimulating hormone to determine the optimal number of oocytes needed to achieve pregnancy and reduce the concerns of patients

[摘要] Background: Slipped capital femoral epi­phy­sis (SCFE) is one of the most frequent hip dis­or­ders in children. SCFE is due to the dis­plac­ement of the epiphysis (femoral head that keeps its location in the acetabulum) relative to the me­taphysis (femoral neck) and shaft at the phy­sic level. Treatment seeks to prevent wor­sen­­ing of epiphyseal slippage on the meta­phy­sis, and percutaneous in situ fixation (ISF) using a single cannulated screw has long shown effi­cacy. Case Presentation: An 11 years old boy pre­sented with diagnosed with slipped capital fe­mo­ral epiphysiolysis of right hip and treated ope­­­ratively with one screw pinning guiding flu­o­­roscopy. Post operatively, from X-Ray eva­lu­a­tion confirmed the proper position without jo­int penetration. Patient is then advised to walk with crutches for gradual weight bearing to full weight bearing after 4 weeks. Then after 6 weeks, patient had already walked normally again. Conclusion: In unstable moderate-to-severe SCFE, the best reduction indications and tech­ni­­que remain controversial. There are many the­­ories supporting one or two screws pinning tech­­nique. In this case we used one screw pin­ning fixation with excellent result.

[学科分类] 工业工程学

[关键词] Clomiphene citrate Mild stimulation Optimal oocyte number Overall pregnancy rate Rec-FSH