Treatment of severe late onset Perthes?? disease with soft tissue release and articulated hip distraction: early results

2004 ◽  
Vol 13 (3) ◽  
pp. 158-165 ◽  
Author(s):  
Eitan Segev ◽  
Elias Ezra ◽  
Shlomo Wientroub ◽  
Moshe Yaniv
2007 ◽  
Vol 1 (4) ◽  
pp. 229-235 ◽  
Author(s):  
Eitan Segev ◽  
Eli Ezra ◽  
Shlomo Wientroub ◽  
Moshe Yaniv ◽  
Shlomo Hayek ◽  
...  

1988 ◽  
Vol 23 (6) ◽  
pp. 1468
Author(s):  
Byeong Mun Park ◽  
Soo Bong Hahn ◽  
Hui Wan Park ◽  
Jin Hong Park

2021 ◽  
Vol 1 (3) ◽  
pp. 84-89
Author(s):  
Vadym Zhamilov ◽  
Can Doruk Basa ◽  
İsmail Eralp Kaçmaz ◽  
Ali Reisoğlu ◽  
Haluk Agus

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ajai Singh ◽  
Rajeshwar N. Srivastava ◽  
Prashant Shukla ◽  
Amit Pushkar ◽  
Sabir Ali

Background. Hip distraction in Perthes’ disease unloads the joint, which negates the harmful effect of the stresses on the articular surfaces, which may promote the sound healing of the area of necrosis. We have examined the effect of arthrodiastasis on the preservation of the femoral head in older children with Perthes’ disease.Methods and Materials. Twelve children with age more than 8 years with Perthes’ disease of less than one year were treated with hip distraction by a hinged monolateral external fixator.Observation and Results. Mean duration of distraction was 13.9 days. These children were evaluated by clinicoradiological parameters for a mean period of 32.4 months. There was a significant improvement in the range of movements and mean epiphyseal index, but the change in the percentage of uncovered head femur was insignificant. There was significant improvement in Harris Hip score.Conclusions. Hip distraction by hinged monolateral external fixator seems to be a valid treatment option in cases with Perthes’ disease in the selected group of patients, where poor results are expected from conventional treatment.


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