Innominate osteotomy for the treatment of Legg-Calvé-Perthes disease.
A retrospective study was performed in 37 patients who underwent innominate osteotomy for the treatment of Legg-Calvé-Perthes disease. The majority of the patients (81%) were more than 6 years old, and the mean age was 7 years and 6 months. Thirty five hips were Catterall group III or IV, and 2 hips that had clinical and radiological "head at risk" signs were group II. The time interval between surgery and the final follow-up ranged from 2 to 6 years with a mean of 3 years and 10 months. Twenty five of 37 patients had good clinical results, and radiographs showed that the sphericity of the femoral head in the older age (> 8 years) group was poorer, which demonstrated a similar pattern to the clinical results in this age group. We conclude that innominate osteotomy is a safe and effective procedure in severe Legg-Calvé-Perthes disease and this operation should be carefully selected as a treatment method in the appropriate age group.
Park
B M
BM
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Kim
H W
HW
Park
S K
SK
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000601:surgery*; D008297:Male; D010027:Osteotomy