A Comparison Between Innominate Osteotomy and Hip Spica in the Treatment of Legg-Perthes?? Disease

Ingman, AM; Paterson, Dennis C.; Ad, Sutherland

doi:10.1097/00003086-198203000-00021

Cited by 27 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on the data observed in this study, we believe that the Laredo classification 6 , 7 may provide the best substrate, in a systematized manner, for determining the prognosis of patients in whom surgical treatment is indicated. Thus, our data confirm the observations of Ingman 33 and Paterson et al, 34 who found a close relationship between the presence of marked flattening of the femoral head on arthrography and occurrences of poor results from Salter surgery.…”

Section: Discussionsupporting

confidence: 92%

Comparison of the results from simple radiography, from before to after Salter osteotomy, in patients with Legg-Calvé-Perthes disease

Toma

Viana

Meireles

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

ObjectivesTo determine whether the clinical variables and preoperative classification of patients with Legg-Calvé-Perthes disease (LCPD) who undergo Salter osteotomy correlate with the radiographic result at the time of skeletal maturity.MethodsIn this retrospective cohort study, 47 individuals with LCPD who were treated using Salter osteotomy (1984–2004) were evaluated. The patients were evaluated according to sex, skin color, side affected and age at which osteotomy was performed. The preoperative radiographs were analyzed in accordance with the classifications of Waldenström, Catterall, Laredo and Herring. The radiographs obtained at the time of skeletal maturity were classified using the Stulberg method.ResultsThe mean age at the time of surgical treatment was 82.87 months (6.9 years). The age presented a statistically significant correlation with the Stulberg grades at skeletal maturity (p < 0.001). Patients over the age of 6.12 years tended to present less favorable results. The variables of sex, skin color and side affected did not present any statistically significant correlation with the prognosis (p = 0.425; p = 0.467; p = 0.551, respectively). Only the Laredo classification presented a statistically significant correlation with the final result given by the Stulberg classification (p = 0.001). The other classifications used (Waldenström, Catterall and Herring) did not present any correlation between the time at which surgery was indicated and the postoperative result.ConclusionsThe age at which the patients underwent surgical treatment and the Laredo classification groups were the only variables that presented significant correlations with the Stulberg classification.

show abstract

Section: Discussionsupporting

confidence: 92%

Comparison of the results from simple radiography, from before to after Salter osteotomy, in patients with Legg-Calvé-Perthes disease

Toma

Viana

Meireles

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…In the present study, only five of 21 hips with a limited ROM preoperatively had a limited ROM postoperatively. In other words, unlike in previous reports, 10 15 19 21) limited ROM was improved postoperatively in the majority of patients in our study. We attribute this to (1) iliopsoas tenotomy and adductor tenotomy that were performed in cases with flexion contracture or limitation of abduction and (2) passive movement exercises that were started shortly after surgery with the aim of increasing hip joint ROM.…”

Section: Discussioncontrasting

confidence: 87%

“…Nonetheless, the general principle of treatment is “containment.” If a femoral head is well-contained in the cartilage mold, even in the case of collapse and deformation, it tends to be remodelled to a spherical shape, and when the femoral head finally reossifies, it becomes congruent with the acetabulum. 15 16) …”

Section: Discussionmentioning

confidence: 99%

“…Of the surgical techniques designed to prevent deformity of the femoral head, the innominate osteotomy and femoral osteotomy have been most commonly used. Moreover, despite the lack of uniform clinical assessment for patients with LCPD treated by SIO, 9 15 18 19) the reported incidence of physical impairment is low. Furthermore, several long-term follow-up studies have shown that patients with even marked deformities may have only mild symptoms for a long period.…”

Section: Discussionmentioning

confidence: 99%

“…Moberg et al 19) reported that four hips in a femoral osteotomy group (16 patients) and four in an innominate osteotomy group (18 patients) had limited passive internal rotation. Ingman et al 15) compared 38 LCPD hips treated by innominate osteotomy with 33 hips, which were matched for age and severity and treated by recumbency in plaster hip spicas. Results were similar in the two groups although radiological results in the innominate osteotomy group were marginally worse.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Long-term Results of Modified Salter Innominate Osteotomy for Legg-Calvé-Perthes Disease

et al. 2017

View full text Add to dashboard Cite

BackgroundIn a previous study, we reported clinical and radiographic results of our modified Salter innominate osteotomy technique in 16 hips affected by Legg-Calvé-Perthes disease (LCPD) with an average follow-up of 31.8 months. In this study, we present the long-term results of the osteotomy in LCPD patients followed until physeal closure.MethodsThirty hips of 29 patients were followed until skeletal maturation after modified Salter innominate osteotomy. The mean follow-up duration was 12.9 years (range, 9.1 to 16.0 years). Eleven hips (36.7%) were classified as Catterall group III and 19 (63.3%) as Catterall group VI. Stable interposition of a bone block was achieved using one biodegradable screw in nine hips and without any fixation device in 21 hips by simply changing the direction of osteotomy. The Harris Hip Score (HHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and hip function were evaluated at the last follow-up. Radiological outcomes were evaluated using Wiberg's center-edge angle, the Mose method, and Stulberg classification, and osteoarthritic changes were evaluated using the Tonnis classification.ResultsMean HHS and WOMAC score were 80.2 points and 54 points, respectively, preoperatively and these were improved to 96.2 points and 28 points, respectively, at the last follow-up. Clinical results, according to Robinson's criteria, were good in 18, fair in seven, and poor in five hips. Radiological results assessed using the Mose method were good in 18, fair in six, and poor in six hips, and according to the Stulberg classification, nine hips were class I, nine were class II, eight were class III, and four were class IV. The mean center-edge angle improved from 19.7° preoperatively to 29.6° at the final follow-up. According the Tonnis classification, three hips were grade 2, five were grade 1, and 22 were grade 0. Of the three grade 2 hips, two underwent Chiari osteotomy 12.1 and 8.8 years postoperatively, and the other underwent total hip arthroplasty 12.9 years postoperatively.ConclusionsThe modified Salter innominate osteotomy produced relatively satisfactory long-term clinical and radiological results.

show abstract

Legg-Calvé-Perthes Disease

Shapiro

2019

Pediatric Orthopedic Deformities, Volume 2

View full text Add to dashboard Cite

A Comparison Between Innominate Osteotomy and Hip Spica in the Treatment of Legg-Perthes?? Disease

Cited by 27 publications

References 0 publications

Comparison of the results from simple radiography, from before to after Salter osteotomy, in patients with Legg-Calvé-Perthes disease

Comparison of the results from simple radiography, from before to after Salter osteotomy, in patients with Legg-Calvé-Perthes disease

Long-term Results of Modified Salter Innominate Osteotomy for Legg-Calvé-Perthes Disease

Legg-Calvé-Perthes Disease

Contact Info

Product

Resources

About