A New Innominate Osteotomy in Legg-Calve-Perthes' Disease / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 8-15, 2007.
Article
in Korean
| WPRIM
| ID: wpr-657048
ABSTRACT
Purpose:
To evaluate the clinical and radiological results of a new innominate osteotomy in Legg-Calve-Perthes' disease (LCPD). Materials andMethods:
This study examined 25 hips that were treated with a new innominate osteotomy for LCPD. The treatment involved the anterior half of the ilium being osteomized in a direction of 45degrees to the coronal plane and 30degrees to 45degrees to the sagittal plane, and the posterior half of the ilium being cut using a Gigli saw according to the conventional method. The mean follow-up duration was 5.5 years. Stable interposition of the bone block was achieved using a single biodegradable screw in 8 hips, and without any fixation device in 17 hips.Results:
The clinical results according to the criteria of Robinson were good in 20 hips. Twelve hips was graded as good by the Mose method, according to the criteria of Stulberg, 8 hips were included in class I, 6 hips in class II, 8 hips in class III, and 3 hips in class IV. The mean center-edge angle improved from 19.4degrees to 30.2degrees.Conclusion:
The new innominate osteotomy is simpler and easier to perform than a routine Salter osteotomy, and satisfactory clinical results can be obtained without fixing the Kirschner wire.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Follow-Up Studies
/
Hip
/
Ilium
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2007
Type:
Article
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