Innominate osteotomy for the treatment of Legg-Calve-Perthes disease.
10.3349/ymj.1996.37.3.200
- Author:
Byeong Mun PARK
1
;
Hyun Woo KIM
;
Sang Kyu PARK
Author Information
1. Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Innominate osteotomy;
Legg-calve-Perthes disease
- MeSH:
Age Factors;
Child;
Child, Preschool;
Female;
Human;
Legg-Perthes Disease/*surgery;
Male;
*Osteotomy
- From:Yonsei Medical Journal
1996;37(3):200-208
- CountryRepublic of Korea
- Language:English
-
Abstract:
A retrospective study was performed in 37 patients who underwent innominate osteotomy for the treatment of Legg-Calve-Perthes disease. The majority of the patients (81%) were more than 6 years old, and the mean age was 7 years and 6 months. Thirty five hips were Catterall group III or IV, and 2 hips that had clinical and radiological "head at risk" signs were group II. The time interval between surgery and the final follow-up ranged from 2 to 6 years with a mean of 3 years and 10 months. Twenty five of 37 patients had good clinical results, and radiographs showed that the sphericity of the femoral head in the older age (> 8 years) group was poorer, which demonstrated a similar pattern to the clinical results in this age group. We conclude that innominate osteotomy is a safe and effective procedure in severe Legg-Calve-Perthes disease and this operation should be carefully selected as a treatment method in the appropriate age group.
