NDLI: The Long-Term Outcome After Varus Derotational Osteotomy for Legg-Calvé-Perthes Disease: A Mean Follow-up of 42 Years.

Please wait, while we are loading the content...

Adolescent Idiopathic Scoliosis: Immaturity Predicts Progression, but Is More Brace Wear Time Beneficial? Commentary on an article by Lori A. Karol, MD, et al.: 'The Effect of the Risser Stage on Bracing Outcome in Adolescent Idiopathic Scoliosis'.

Please Teach Us More! Commentary on an article by G. David Potter III, MD, et al.: 'Midterm Results of Porous Tantalum Femoral Cones in Revision Total Knee Arthroplasty'.

Year: 2016 Volume: 98 Issue: 14

Year: 2016 Volume: 98 Issue: 13

Year: 2016 Volume: 98 Issue: 12

Year: 2016 Volume: 98 Issue: 11

Year: 2016 Volume: 98 Issue: 10

Year: 2016 Volume: 98 Issue: 9

Year: 2016 Volume: 98 Issue: 8

Year: 2016 Volume: 98 Issue: 7

Year: 2016 Volume: 98 Issue: 6

Year: 2016 Volume: 98 Issue: 5

Year: 2016 Volume: 98 Issue: 4

Year: 2016 Volume: 98 Issue: 3

Year: 2016 Volume: 98 Issue: 2

Year: 2016 Volume: 98 Issue: 1

Year: 2015 Volume: 97

Year: 2014 Volume: 96

Year: 2013 Volume: 95

Year: 2012 Volume: 94

Year: 2011 Volume: 93

Year: 2010 Volume: 92

Year: 2009 Volume: 91

Year: 2008 Volume: 90

Year: 2007 Volume: 89

The Long-Term Outcome After Varus Derotational Osteotomy for Legg-Calvé-Perthes Disease: A Mean Follow-up of 42 Years.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Shohat, Noam Copeliovitch, Leonel Smorgick, Yossi Atzmon, Ran Mirovsky, Yigal Shabshin, Nogah Beer, Yiftah Agar, Gabriel
Description	Country affiliation: Israel Author Affiliation: Shohat N ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel noam.shohat@gmail.com.); Copeliovitch L ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.); Smorgick Y ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.); Atzmon R ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.); Mirovsky Y ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.); Shabshin N ( Department of Radiology, Carmel Medical Center, Haifa, Israel.); Beer Y ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.); Agar G ( Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.)
Abstract	BACKGROUND: Varus derotational osteotomy (VDRO) is one of the most common surgical treatments for Legg-Calvé-Perthes disease, yet its long-term results have not been fully assessed. We aimed to determine the long-term clinical and radiographic outcomes following VDRO. METHODS: Forty patients (43 hips) who underwent VDRO for Legg-Calvé-Perthes disease at our institution from 1959 to 1983, and participated in a follow-up study completed 10 years earlier, were approached for the present study. Clinical examination and radiographs were evaluated. Hip status and well-being were assessed with the Harris hip score and the Short Form-36 (SF-36). RESULTS: Thirty-five patients (37 hips) participated in the study. Information regarding the need for an arthroplasty was gathered on 4 additional hips from the previous study. The mean follow-up was 42.5 years (range, 32.4 to 56.5 years), with a mean patient age of 50.2 years (range, 35.9 to 67.8 years). In total, 7 patients (7 hips; 17% of 41 hips for which information was available, including 1 hip from the original cohort of 40 patients [43 hips]), underwent a total hip arthroplasty for hip pain. Excluding patients who had undergone an arthroplasty, the mean Harris hip and SF-36 scores were 79.8 points (range, 23.1 to 100 points) and 74.8 (range, 15.1 to 100), respectively. Twenty (64.5%) of the 31 hips that had not been replaced achieved a good or excellent Harris hip score (≥80 points). Sixteen (57.1%) of 28 hips with follow-up radiographs had no, or minimal, signs of osteoarthritis. The Stulberg classification was associated with the Harris hip score, the SF-36 score, hip pain, a Trendelenburg sign, coxa magna, and the Tönnis grade. In a multivariate analysis, the Stulberg classification was the only factor associated with fair or poor outcomes (a Harris hip score of <80 points). Patients with a Stulberg class-III or IV hip had significant deterioration with respect to the Harris hip score and Tönnis grade during the 10-year period since the last follow-up. CONCLUSIONS: A long-term follow-up of patients who were operatively treated for Legg-Calvé-Perthes disease revealed that a low proportion underwent total hip arthroplasty and a relatively high proportion maintained good clinical and radiographic outcomes. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
File Format	HTM / HTML
ISSN	00219355
Issue Number	15
Journal	The Journal of Bone and Joint Surgery-American Volume
Volume Number	98
e-ISSN	15351386
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2016-08-03
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery Sports Science

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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

Short follow-up evaluation of proximal femoral varus osteotomy for treatment of Legg–Calvé–Perthes disease

Clinical and radiographic outcomes after femoral varus derotation osteotomy for Legg-Calvé-Perthes disease at 25 years follow-up: what are the determinants of outcome in the long term?

Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes' disease--a long term follow-up.

Arthrographic indicators for decision making about femoral varus osteotomy in Legg-Calvé-Perthes disease

Varus-producing osteotomy for patients with lateral pillar type B and C Legg-Calvé-Perthes disease followed to skeletal maturity

Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes’ disease—a long term follow-up

Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up.

How much varus is optimal with proximal femoral osteotomy to preserve the femoral head in Legg-Calvé-Perthes disease?

The Long-Term Outcome After Varus Derotational Osteotomy for Legg-Calvé-Perthes Disease: A Mean Follow-up of 42 Years.

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

Short follow-up evaluation of proximal femoral varus osteotomy for treatment of Legg–Calvé–Perthes disease

Clinical and radiographic outcomes after femoral varus derotation osteotomy for Legg-Calvé-Perthes disease at 25 years follow-up: what are the determinants of outcome in the long term?

Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes' disease--a long term follow-up.

Arthrographic indicators for decision making about femoral varus osteotomy in Legg-Calvé-Perthes disease

Varus-producing osteotomy for patients with lateral pillar type B and C Legg-Calvé-Perthes disease followed to skeletal maturity

Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes’ disease—a long term follow-up

Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up.

How much varus is optimal with proximal femoral osteotomy to preserve the femoral head in Legg-Calvé-Perthes disease?

The Long-Term Outcome After Varus Derotational Osteotomy for Legg-Calvé-Perthes Disease: A Mean Follow-up of 42 Years.