The long-term outcome of primary osteochondritis of the hip (Legg-Calvé-Perthes' disease).
نویسنده
چکیده
We have previously reported on 57 patients (60 hips) with a past history of Legg-Calvé-Perthes' disease at a mean of 34 years after the onset of symptoms. From this original group, 48 patients (51 hips) were also available for review after a mean of 50.2 years. We consider that the best prognostic indicator for the hip is the shape of the femoral head at skeletal maturity. Normal or flattened spherical heads present few problems. Irregular or very irregular heads are associated with a poor outcome.
منابع مشابه
Evolution in diagnosis and treatment of Legg-Calve-Perthes disease
Legg-Calvé-Perthes disease (LCPD) is an idiopathic osteonecrosis of the femoral head with variable complications and resultant deformity of the femoral head and osteoarthritis. Suggested risk factors are acetabular retroversion, obesity, latitude, hyperactivity, and coagulopathy. The most commonly applied classification is based on radiolucency in the lateral pillar of the femoral head, which i...
متن کاملClinical Outcome of Femoral Osteotomy in Patients with Legg-Calve´-Perthes Disease
Background: Legg-Calve´-Perthes disease is a juvenile idiopathic osteonecrosis in which the blood supply of femoral head is not sufficient and the bone dies provisionally. The aim of this study is to evaluate outcome of Femoral osteotomy in children with LCPD in our University Hospital. Methods: In a descriptive analytic study, between 2008 and 2013, patients with the diagnosis of Legg-Calv...
متن کاملFate of the osteochondral fragments in osteochondritis dissecans after Legg-Calve-Perthes' disease.
The treatment of osteochondritis dissecans after Legg-Calvé-Perthes' disease has not been clearly determined. It may be either by simple observation or surgical removal of the osteochondral fragment. We studied the evolution of the lesion in 13 children and reviewed 92 hips reported in the literature. In our patients ten showed a tendency towards spontaneous healing, one required drilling + gra...
متن کاملOsteochondral Abnormalities: Pitfalls, Injuries, and Osteochondritis Dissecans
Osteochondral lesions most commonly occur about the knee but may affect any articular surface of the pediatric appendicular skeleton. Osteochondral lesions include osteochondritis dissecans, osteochondral fractures, and osteochondral abnormalities associated with secondary processes such as Legg-Calvé-Perthes disease. These abnormalities should not be confused with normal subchondral irregulari...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 84 5 شماره
صفحات -
تاریخ انتشار 2002