Treatment of Late-Onset Legg-Calve-Perthes Disease by Arthrodiastasis
Clinics in Orthopedic Surgery
;
: 452-457, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-215532
ABSTRACT
BACKGROUND:
To evaluate the efficacy of arthrodiastasis for Legg-Calve-Perthes disease.METHODS:
Arthrodiastasis was conducted using external fixator devices (Orthofix) in 7 patients at least 8 years of age with a diagnosis of Legg-Calve-Perthes disease. The average follow-up was 80 months (range, 32 to 149 months), and their average age was 9.1 years (range, 8 to 12 years). The results of treatment were evaluated by measuring the degree of hip pain and the range of motion of the hip at 6 months after the operation and comparing the values with preoperative measurements. Radiological recovery was evaluated by the epiphyseal index and compared with the preoperative values. At the final follow-up, clinical and radiological results were evaluated using the Iowa hip score and the Stulberg classification.RESULTS:
On the clinical evaluation performed at 6 months after arthrodiastasis, the degree of pain decreased by 1.8 points on average, and the average flexion, internal rotation, and abduction increased by 35°, 16°, and 11°, respectively. Based on radiological findings, the epiphyseal index showed a remarkable increase of 6.6 on average (from 19 preoperatively to 26 postoperatively). At the final follow-up, the average Iowa hip score improved from 65 points preoperatively to 84 points. There were 1 Stulberg class I hip, 2 Stulberg class II hips, 3 Stulberg class III hips, 1 Stulberg class IV hip, and no Stulberg class V hip.CONCLUSIONS:
We conclude that arthrodiastasis using an external fixator can be a relatively promising surgical procedure for the treatment of late-onset Legg-Calve-Perthes disease.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Iowa
/
Seguimentos
/
Fixadores Externos
/
Amplitude de Movimento Articular
/
Classificação
/
Diagnóstico
/
Quadril
/
Doença de Legg-Calve-Perthes
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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