title: Treatment of the symptomatic healed Perthes hip.
abstract: Healed Legg-Calvé-Perthes disease may cause both intra-articular and extra-articular impingement, resulting in a symptomatic hip prior to the onset of osteoarthritis. Various impingement-relieving surgeries have been used in the past; however, the development of the safe surgical dislocation technique has allowed a better understanding of complex deformity that may be present in these hips and hence may improve treatment of these symptomatic prearthritic hips. This article outlines the range of deformities possible in a Perthes hip, and treatment strategies to surgically address these deformities. For Perthes disease good preoperative clinical and radiographic assessment is essential, and intraoperative assessment vital.
authors: Department of Orthopaedic Surgery, Children's Hospital Boston, Boston, MA 02115, USA.
authors: Eduardo N
authors: EN
authors: Novais
authors: John
authors: J
authors: Clohisy
authors: Klaus
authors: K
authors: Siebenrock
authors: David
authors: D
authors: Podeszwa
authors: Daniel
authors: D
authors: Sucato
authors: Young-Jo
authors: YJ
authors: Kim
mesh_terms: D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D016896:Treatment Outcome; D014945:Wound Healing