Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes' disease--a long term follow-up.
Between 1974 and 1999 we performed 15 intertrochanteric osteotomies in 14 patients with a painful hip secondary to Legg-Calvé-Perthes' disease. In seven patients, the osteotomy was combined with advancement of the greater trochanter, acetabular roof plasty, or both. One patient died 5 years after the osteotomy and one patient was lost to follow-up. One patient had a revision osteotomy 21 years after the initial osteotomy, and five patients had a prosthetic replacement 8-25 years after the osteotomy. The average follow-up of the remaining osteotomies was 11.3 years. An intertrochanteric osteotomy can decrease pain and improve clinical function medium and long term without radiological progression of joint degeneration.
Pécasse
G A B M
GA
Orthopaedic Research Centre Amsterdam, University Hospital AMC, Amsterdam, The Netherlands.
Eijer
H
H
Haverkamp
D
D
Marti
R K
RK
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010146:Pain / Q000209:etiology / Q000601:surgery*