Yonsei Med J.  1996 Jun;37(3):200-208. 10.3349/ymj.1996.37.3.200.

Innominate osteotomy for the treatment of Legg-Calve-Perthes disease

Affiliations
  • 1Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Physical Education, Yonsei University, Seoul, Korea.

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.

Keyword

Innominate osteotomy; Legg-calve-Perthes disease

MeSH Terms

Age Factors
Child
Child, Preschool
Female
Human
Legg-Perthes Disease/*surgery
Male
*Osteotomy
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