Radiological evaluation of surgical treatment in Perthes' disease

We compared the late radiographic results of femoral head coverage in two unselected groups of patients with Perthes' disease, one treated conservatively and one with surgical containment. Forty-eight hips were treated surgically and 28 hips were managed conservatively. The preoperative radiogr...

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Bibliographic Details
Published in:International orthopaedics 2001, Vol.25 (5), p.305-307
Main Authors: ZENIOS, M, HUTCHINSON, C, GALASKO, C. S. B
Format: Article
Language:English
Subjects:
Biological and medical sciences
Casts, Surgical
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Investigative techniques, diagnostic techniques (general aspects)
Legg-Calve-Perthes Disease - diagnostic imaging
Legg-Calve-Perthes Disease - surgery
Male
Medical sciences
Original Paper
Orthopedic Procedures - methods
Osteoarticular system. Muscles
Probability
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiography
Range of Motion, Articular - physiology
Recovery of Function
Retrospective Studies
Sensitivity and Specificity
Treatment Outcome
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Summary:We compared the late radiographic results of femoral head coverage in two unselected groups of patients with Perthes' disease, one treated conservatively and one with surgical containment. Forty-eight hips were treated surgically and 28 hips were managed conservatively. The preoperative radiographs were classified using both the Salter and Herring classifications. We found no significant difference in femoral head coverage between the groups. However, there was a trend towards a better femoral head coverage following surgical containment of Salter type B and Herring type II and III hips. The authors conclude that surgical containment may offer a better prognosis for patients with the more severely affected hips.
ISSN:0341-2695
1432-5195
DOI:10.1007/s002640100267