Triple pelvic osteotomy in the treatment of Legg-Calve-Perthes disease.
This article presents the results of Legg-Calve-Perthes (LCP) disease treatment using triple pelvic osteotomy. Thirty patients were analysed. The conditions for inclusion in the study were complete medical documentation and follow-up until the disease was resolved. Postoperatively, no patients were immobilised. Rehabilitation was initiated early in all patients, and full weight bearing was allowed after ten weeks. With this method, an increase of the CE angle of 17.43 +/- 4.020 degrees was achieved. Containment was increased from an initial 6.67% to 53.33% of patients at the final check-up. Similar improvement was achieved by using Herring classification of the damage; preoperatively most hips belonged to group C, and postoperatively to group A. Postoperatively, functional results were also considerably improved. The authors recommend triple pelvic osteotomy as the method of choice in the treatment of severe cases of LCP disease.
Vukasinovic
Zoran
Z
Pediatric Orthopaedic Service, Institute for Orthopaedic Surgery Banjica, Belgrade, Serbia. zvukasin@beotel.net
Spasovski
Dusko
D
Vucetic
Cedomir
C
Cobeljic
Goran
G
Zivkovic
Zorica
Z
Matanovic
Dragana
D
D002648:Child; D005260:Female; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods* / Q000534:rehabilitation; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome