Total hip arthroplasty after Legg–Calvé–Perthes disease

2021 ◽  
Vol 56 (3) ◽  
pp. 182
Author(s):  
Moheib Ahmed ◽  
MostafaS Abdelkhalek ◽  
AymanM Ali
2021 ◽  
pp. 112070002098815
Author(s):  
Dammerer Dietmar ◽  
Braito Matthias ◽  
Peter Ferlic ◽  
Kaufmann Gerhard ◽  
Juana Kosiol ◽  
...  

Introduction: The Chiari pelvic osteotomy (CPO) has been recommended as a salvage procedure to improve head coverage in case of hip joint incongruence in paediatric hip disease. In this study, we aimed to assess the long-term results of CPO for severe Legg-Calvé-Perthes disease (LCPD). Methods: A total of 39 patients who underwent a CPO at our department between 1995 and 2010 were prospectively followed both radiologically (Stulberg classification) and clinically (Harris Hip Score [HHS], conversion into total hip arthroplasty). In this study, we retrospectively reviewed the cases of 12 hips (12 patients, 3 girls, 8 left hips) treated by CPO for severe LCPD (Catterall grade 3 or 4) with hip joint incongruence. Mean follow-up was 14.0 (range 7.6–21.3) years. Results: Mean age at surgery was 10.2 (range 8.2–17.8) years. Additional femoral osteotomy was performed in 8 patients. A good radiological result (Stulberg I or II) was achieved in 2 patients, a fair result (Stulberg III) in 4 patients, and a poor outcome (Stulberg IV or V) in 6 patients. Mean postoperative HHS averaged 93 (range 65–100) points. An excellent functional outcome (HHS 90–100 points) was achieved in 9 patients. No patient underwent total hip arthroplasty during follow-up. Postoperative limb-length discrepancy was found in 3 patients. Conclusions: CPO for severe LCPD with hip joint incongruence resulted in good long-term clinical outcome in about ⅔ of our patients after a mean of 14 years. Our results suggest that CPO can still be considered as a salvage joint-conserving procedure in this selected group of younger patients.


2017 ◽  
Vol 99-B (4) ◽  
pp. 440-444 ◽  
Author(s):  
K. H. Lee ◽  
W-L. Jo ◽  
Y. C. Ha ◽  
Y. K. Lee ◽  
S. B. Goodman ◽  
...  

2011 ◽  
Vol 42 (3) ◽  
pp. 419-422 ◽  
Author(s):  
Christopher R. Costa ◽  
Aaron J. Johnson ◽  
Qais Naziri ◽  
Michael A. Mont

2010 ◽  
Vol 469 (4) ◽  
pp. 1134-1140 ◽  
Author(s):  
Lonnie Froberg ◽  
Finn Christensen ◽  
Niels Wisbech Pedersen ◽  
Søren Overgaard

Hip & Pelvis ◽  
2014 ◽  
Vol 26 (4) ◽  
pp. 214 ◽  
Author(s):  
Young Wook Lim ◽  
Myung Jin Kim ◽  
Yong Suk Lee ◽  
Yong Sik Kim

2013 ◽  
Vol 471 (9) ◽  
pp. 2980-2986 ◽  
Author(s):  
Yaser M. K. Baghdadi ◽  
Noelle A. Larson ◽  
Anthony A. Stans ◽  
Tad M. Mabry

2017 ◽  
Vol 137 (8) ◽  
pp. 1149-1154 ◽  
Author(s):  
Sammy A. Hanna ◽  
Khaled M. Sarraf ◽  
Manoj Ramachandran ◽  
Pramod Achan

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