Loading...
Please wait, while we are loading the content...
Similar Documents
Long-term clinical and radiological outcome in patients with severe Legg-Calvé-Perthes disease after Chiari pelvic osteotomy: a mean of 14 years follow-up
| Content Provider | SAGE Publishing |
|---|---|
| Author | Dammerer, Dietmar Braito, Matthias Ferlic, Peter Kaufmann, Gerhard Kosiol, Juana Biedermann, Rainer |
| Copyright Year | 2021 |
| Abstract | Introduction:The Chiari pelvic osteotomy (CPO) has been recommended as a salvage procedure to improve head coverage in case of hip joint incongruence in paediatric hip disease. In this study, we aimed to assess the long-term results of CPO for severe Legg-Calvé-Perthes disease (LCPD).Methods:A total of 39 patients who underwent a CPO at our department between 1995 and 2010 were prospectively followed both radiologically (Stulberg classification) and clinically (Harris Hip Score [HHS], conversion into total hip arthroplasty). In this study, we retrospectively reviewed the cases of 12 hips (12 patients, 3 girls, 8 left hips) treated by CPO for severe LCPD (Catterall grade 3 or 4) with hip joint incongruence. Mean follow-up was 14.0 (range 7.6–21.3) years.Results:Mean age at surgery was 10.2 (range 8.2–17.8) years. Additional femoral osteotomy was performed in 8 patients. A good radiological result (Stulberg I or II) was achieved in 2 patients, a fair result (Stulberg III) in 4 patients, and a poor outcome (Stulberg IV or V) in 6 patients. Mean postoperative HHS averaged 93 (range 65–100) points. An excellent functional outcome (HHS 90–100 points) was achieved in 9 patients. No patient underwent total hip arthroplasty during follow-up. Postoperative limb-length discrepancy was found in 3 patients.Conclusions:CPO for severe LCPD with hip joint incongruence resulted in good long-term clinical outcome in about ⅔ of our patients after a mean of 14 years. Our results suggest that CPO can still be considered as a salvage joint-conserving procedure in this selected group of younger patients. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/1120700020988150?download=true |
| Starting Page | 807 |
| Ending Page | 812 |
| Page Count | 6 |
| ISSN | 11207000 |
| Issue Number | 6 |
| Volume Number | 32 |
| Journal | HIP International (HPI) |
| e-ISSN | 17246067 |
| DOI | 10.1177/1120700020988150 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2021-02-10 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | long-term results Chiari pelvic osteotomy salvage Legg-Calvé-Perthes disease |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
