title: Combined osteotomy as a salvage procedure for severe Legg-Calvé-Perthes disease.
abstract: Combined Salter innominate and varus femoral osteotomies were performed on 14 patients with severe Legg-Calvé-Perthes disease. The mean patient age was 8 years 4 months. Nine hips were Catterall class III, five class IV, and all had three or more head-at-risk signs. The average preoperative epiphyseal index was 30%. Mean follow-up was 8 years. Eleven of 14 patients had a good clinical result, and radiographs showed progressive spherical remodeling of the femoral head. Seven hips demonstrated spherical congruency at follow-up. The epiphyseal extrusion index at follow-up was less than 20% in 13 of 14 hips. We conclude that combined osteotomy is a safe and effective salvage procedure in severe Legg-Calvé-Perthes disease.
authors.affiliation: Orthopaedic Physicians, Inc., Seattle, Washington.
authors.forename: J P
authors.initials: JP
authors.lastname: Crutcher
authors.forename: L T
authors.initials: LT
authors.lastname: Staheli
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography