Legg-Calve-Perthes disease
Authors:
A. Schejbalová 1; A. Stančák 1; P. Chládek 2; T. Trč 1; V. Havlas 1
Authors place of work:
Klinika dětské a dospělé ortopedie a traumatologie 2. LF UK a FN Motol, Praha
1; Ortopedické oddělení, Vršovická zdravotní a. s., Praha
2
Published in the journal:
Čes-slov Pediat 2017; 72 (3): 195-200.
Category:
Review
Summary
Perthes disease is a severe condition of the hip joint affecting mostly children between 3–8 years of age. A major progress of conservative and operative treatment methods has been marked in the last decades with one common goal: preventing the most severe complication - early osteoarthritis of the hip joint. In the case of early diagnosis and the correct choice of a treament method this riks can be minimalized. Basic surgicall techniques include the Salter pelvic osteotomy, often combined with a procedure on the proximal femur. The most important goal in conservative treatment options is physiotherapy aiming to secure the abduction position of the hip in order to achieve free range of movement in the hip joint.
Key words:
avascular necrosis, hip joint, treatment, Salter pelvic osteotomy, rehabilitation
Zdroje
1. Dungl P, a kol. Ortopedie. Praha: Grada Avicenum, 2005: 1–1273.
2. Chládek P, Trč T. Perthesova choroba. Postgrad Med 2008; 10 (8): 886–889.
3. Park KW, Reiuso CA, Cho WT, Song HR. Timing of premature physeal closure in Legg–Calve-Perthes Disease. Int Orthop 2014; 38 (10): 2137–2142.
4. Catterall A. The natural history of Perthes’ disease. J Bone Joint Surg 1971; 53-B: 37–53.
5. Salter RB, Thompson GH. Leg-Calve-Perthes disease. The prognostic signifikance of the subchondral fracture and a two- group classification of the femoral head involvement. J Bone Joint Surg 1984; 66-A (4): 479–489.
6. Kitoh H, Kaneko H, Mishima K, et al. Prognostic factors for trochanteric overgrowth after containment treatment in Leg-Calve-Perthes disease. J Pediatr Orthop B 2013; 22 (5): 432–436.
7. Manig M. Leg-Calve-Perthes disease (LCPD). Principles of diagnosis and treatment. Orthopade 2013; 42 (10): 891–902.
8. Mazloumi SM, Ebrahimzadeh MH, Kachooei AR. Evolution in diagnosis and treatment of Leg-Calve-Perthes disease. Arch Bone Jt Surg 2014; 2 (2): 86–92.
9. Divi SN, Bielski RJ. Leg-Calve-Perthes disease. Pediatr Ann 2016; 45 (2): 144–149.
10. Meurer A, Schwitalle M, Humke T, et al. Comparison of the prognostic value of the Catterall and Herring classification in patients with Perthes disease. Z Orthop Ihre Grenzgeb 1999 Mar-Apr; 137 (2): 168–172.
11. Nguyen NA, Klein G, Dogbey G, et al. Operative versus nonoperative treatments for Leg-Calve-Perthes disease: a meta-analysis. J Pediatr Orthop 2012; 32 (7): 697–705.
12. Westhoff B, Martiny F, Krauspe R. Current treatment strategies in Legg-Calve-Perthes disease. Orthopade 2013; 42 (12): 1008–1017.
13. Bulut M, Demirts A, Ucar BY, et al. Salter pelvic osteotomy in the treatment of Legg-Calve-Perthes disease: the medium-term results. Acta Orthop Belg 2014; 80 (1): 56–62.
14. Salter RB. Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J. Bone Joint Surg 1961; 43-B (5): 518–539.
15. Toma HF, de Almeida Oliveira Felippe Viana T, Meireles RM, et al. Comparison of results from simple radiography, from before to after Salter osteotomy, in patients with Leg-Calve-Perthes disease. Rev Bras Ortop 2014; 49 (5): 488–493.
16. Yavuz U, Demir B, Yildirim T, et al. Salter innominate osteotomy in the treatment of late presentation Perthes disease. Hip Int 2014; 24 (1): 39–43.
17. Poul J, Urbásek K, Ročák K. Porovnání přesnosti korekce proximálního femuru klasickými úhlovými dlahami a systémem kanalizovaného pediatricko-ortopedického instrumentária (CAPOS). Acta Chir Orthop Traumatol Cech 2013; 80: 43–46.
18. Ročák K, Poul J, Urbásek K. Přesnost korekce proximálního femuru s fixací LCP dětskými kyčelními dlahami. Acta Chir Orthop Traumatol Cech 2013; 80: 273–277.
19. Kim HK, da Cunha AM, Browne R, et al. How much varus is optimal with proximal femoral osteotomy to preserve the femoral head in Legg-Calvé-Perthes disease? J Bone Joint Surg Am 2011 Feb 16; 93 (4): 341–347. doi: 10.2106/JBJS.J.00830.
20. Pailhé R, Cavaignac E, Murgier J, et al. Triple osteotomy of the pelvis for Leg-Calve-Perthes disease: a mean fifteen years follow-up. Int Orthop 2016; 40 (1): 115–122.
21. Siebenrock KA, Anwander H, Zurmühle CA, et al. Head reduction osteotomy with additional containment surgery improves sphericity and containment and reduces pain in Legg-Calve-Perthes disease. Clin Orthop Relat Res 2015; 473 (4): 1274–1283.
22. Burian M, Dungl P, Chomiak J, a kol. Operační řešení sedlovité deformity hlavice kosti stehenní. Acta Chir Orthop Traumatol Cech 2016; 83: 247–253.
Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
2017 Číslo 3
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- The Importance of Limosilactobacillus reuteri in Administration to Diabetics with Gingivitis
Najčítanejšie v tomto čísle
- Patello-femoral disorders in children
- Legg-Calve-Perthes disease
- Pepsin in secretion from the upper respiratory tract as a marker of extraesophageal reflux in children
- RSV infection in late preterm infants