title: Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up.
abstract: OBJECTIVE
  This study presents the results of a prospective consecutive cohort of patients with Legg-Calvé-Perthes disease (LCPD) operated with triple osteotomy of the pelvis (TOP) between 1989 and 2005. We attempted to determine whether the results of TOP remain stable with time and consequently lower the risk of subsequent osteoarthritis. The primary study aims were to determine the maintenance of head coverage and joint congruity, and functional outcomes of this surgery.
  
  
  METHODS
  Forty-five patients with a mean follow-up of 15.2 years (range eight to 24) were included.
  
  
  RESULTS
  At latest follow-up, two patients were lost to follow-up, and two required a surgical reoperation. Cumulative maintenance of head coverage and joint congruity rate for all TOP was 84.6 % (95 % CI: 82.3-90.6 %) at 15 years. Factors significantly associated with poor long-term results were the age at diagnosis and Greene index.
  
  
  CONCLUSIONS
  TOP in LCPD provides satisfactory and reproducible long-term clinical results.
authors: Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France. regis.pailhe@doctors.org.uk.|Service de Chirurgie Orthopédique, Hôpital Sud, Av Kimberley, 38130, Grenoble Cedex, France. regis.pailhe@doctors.org.uk.
authors: Régis
authors: R
authors: Pailhé
authors: Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France.
authors: Etienne
authors: E
authors: Cavaignac
authors: Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France.
authors: Jérôme
authors: J
authors: Murgier
authors: Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France.
authors: Jean Philippe
authors: JP
authors: Cahuzac
authors: Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France.
authors: Jerôme Sales
authors: JS
authors: de Gauzy
authors: Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France.
authors: Franck
authors: F
authors: Accadbled
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010388:Pelvis / Q000601:surgery*; D011446:Prospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome
keywords: Hip; Legg Calve Perthes; Osteotomy; Pediatrics
references: Ann Rheum Dis. 1957 Dec;16(4):494-502
references: 13498604
references: J Arthroplasty. 2001 Feb;16(2):188-95
references: 11222892
references: Orthop Traumatol Surg Res. 2010 Nov;96(7):793-9
references: 20832380
references: Clin Orthop Relat Res. 2012 Sep;470(9):2402-10
references: 22125244
references: J Pediatr Orthop B. 2002 Jan;11(1):34-40
references: 11866079
references: J Pediatr Orthop. 2010 Dec;30(8):749-57
references: 21102197
references: J Bone Joint Surg Br. 1984 Mar;66(2):184-8
references: 6707053
references: J Bone Joint Surg Am. 2012 Apr 4;94(7):584-92
references: 22488614
references: AJR Am J Roentgenol. 2007 Jun;188(6):1540-52
references: 17515374
references: J Pediatr Orthop. 2003 Sep-Oct;23(5):601-6
references: 12960622
references: Acta Orthop Belg. 2001 Apr;67(2):126-31
references: 11383290
references: J Bone Joint Surg Am. 1973 Dec;55(8):1629-32
references: 4217797
references: Acta Chir Orthop Traumatol Cech. 2001;68(2):93-8
references: 11706723
references: Instr Course Lect. 2006;55:131-44
references: 16958446
references: Clin Orthop Relat Res. 2013 Aug;471(8):2570-7
references: 23616268
references: J Pediatr Orthop. 2002 Jul-Aug;22(4):464-70
references: 12131442
references: J Bone Joint Surg Br. 2001 Jul;83(5):715-20
references: 11476312
references: J Bone Joint Surg Br. 1996 Mar;78(2):185-90
references: 8666621
references: J Bone Joint Surg Am. 1981 Sep;63(7):1095-108
references: 7276045
references: Clin Orthop Relat Res. 2011 Jan;469(1):237-43
references: 20458643
references: Clin Orthop Relat Res. 2012 Sep;470(9):2383-93
references: 22467420
references: J Bone Joint Surg Am. 1981 Jul;63(6):900-5
references: 7240330
references: J Pediatr Orthop B. 2010 Jul;19(4):323-6
references: 20386118
references: J Pediatr Orthop. 2013 Sep;33(6):650-5
references: 23812133
references: Hip Int. 2013 Nov-Dec;23 Suppl 9:S61-70
references: 23873509
references: J Pediatr Orthop B. 2003 Nov;12(6):387-9
references: 14530696
references: J Pediatr Orthop. 1993 Jan-Feb;13(1):41-5
references: 8416352
references: J Bone Joint Surg Br. 2007 Oct;89(10 ):1369-74
references: 17957080
references: Orthop Clin North Am. 2011 Jul;42(3):401-17, viii
references: 21742152
references: J Pediatr Orthop. 2011 Sep;31(2 Suppl):S137-40
references: 21857427
references: J Pediatr Orthop. 1996 Jan-Feb;16(1):3-9
references: 8747346
references: J Arthroplasty. 2002 Sep;17(6):731-9
references: 12216027
references: Clin Orthop Relat Res. 2004 Jun;(423):118-22
references: 15232436
references: Int Orthop. 2009 Oct;33(5):1377-83
references: 19301002
references: J Bone Joint Surg Br. 1982;64(3):269-75
references: 6807991
references: Clin Orthop Relat Res. 2012 Sep;470(9):2394-401
references: 22101403
references: Rev Rhum Mal Osteoartic. 1961 Dec;28:643-52
references: 14464207
references: J Pediatr Orthop. 1992 Mar-Apr;12 (2):143-50
references: 1552014
references: J Bone Joint Surg Br. 1991 Jul;73(4):626-31
references: 2071647
references: J Bone Joint Surg Am. 1984 Jul;66(6):860-9
references: 6736087
references: Clin Orthop Relat Res. 2003 Dec;(417):112-20
references: 14646708
references: J Pediatr Orthop. 2011 Sep;31(2 Suppl):S192-7
references: 21857438
references: J Bone Joint Surg Br. 2000 May;82(4):548-54
references: 10855880
references: J Pediatr Orthop. 2005 Mar-Apr;25(2):206-9
references: 15718903