The Long Term Results of Femoral Varus Osteotomy in Patients with Legg-Calve-Perthes Disease
Journal of the Korean Hip Society
;
: 238-244, 2009.
Article
in English
| WPRIM
| ID: wpr-727236
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the long term results of performing femoral varus osteotomy (FVO) for the treatment of Legg-Calve-Perthes disease (LCPD). MATERIALS ANDMETHODS:
We selected 35 LCPD patients who received FVO and they were followed up to the time their skeletons' matured. The inclusion criteria were patients in a fragmentation stage, the patients were in Catterall group III or IV, and the patients underwent a teleoroentgenographic examination at the time of full skeletal maturity.RESULTS:
The radiological outcome at the time of skeletal maturity was assessed using Stulberg's classification. The final results were 4 hips in class I, 17 hips in class II, 13 hips in class III, one hip in class IV and none in class V. The satisfactory results (good+fair hips) were 34 hips (97%). Significant shortening (>10 mm) was observed in 12 hips (34%). In 35 patients, 5 (14%) had same leg length (less than 2 mm difference), 27 (77%) had shortening of 2 mm or more, and 3 had lengthening of 2 mm or more in the operated limb. Of these 12 patients with significant shortening, only 3 patients (9%) showed shortening of 21 mm or more.CONCLUSION:
FVO is a reliable method for managing LCPD in patients who are in Catterall group III or IV and who are in the fragmentation stage of disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Extremities
/
Hip
/
Leg
/
Legg-Calve-Perthes Disease
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Hip Society
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS