Comparison Between Salter's Innominate Osteotomy and Augmented Acetabuloplasty in the Treatment of Patients with Severe Legg-Calvé-Perthes Disease. Analysis of 90 Hips with Special Reference to Roentgenographic Sphericity and Coverage of the Femoral Head

Kuwajima, Sérgio S; Crawford, Alvin H.; Ishida, Akira; Roy, Dennis R.; Filho, José Laredo; Milani, Carlo

doi:10.1097/01202412-200201000-00004

Cited by 6 publications

(11 citation statements)

References 57 publications

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“…Daly et al achieved classification of 1-3 for 22 of 27 hips, and Huang had similar overall results as ours, with 71.4% of hips in Classes 1-3 [17,19]. This rate is comparable to reports using other surgical procedures: 67% to 86% for femoral osteotomy and 78% for Salter osteotomy [16,27,28].…”

Section: Discussionsupporting

confidence: 92%

Outcomes in Advanced Legg-Calvé-Perthes Disease Treated With the Staheli Procedure

Chang

Kuo

Huang

2011

Journal of Surgical Research

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Section: Discussionsupporting

confidence: 92%

Outcomes in Advanced Legg-Calvé-Perthes Disease Treated With the Staheli Procedure

Chang

Kuo

Huang

2011

Journal of Surgical Research

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“…38 Many researchers have confirmed the superimposition of the MRI coronal images in relation to PAG (Fig. 8).…”

Section: Our Experience Results and Discussionmentioning

confidence: 77%

Arthrogram in Legg-Calvé-Perthes Disease

Milani

Dobashi²

2011

Journal of Pediatric Orthopaedics

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There is a consensus among researchers that the treatment for Legg-Calvé-Perthes disease, whether conservative or surgical, is always based on the concept of "containment," that is, maintaining the femoral head inside the acetabulum socket throughout the entire evolution of the disease. Thus, the size and shape of the proximal femoral epiphysis should be monitored during the evolution of the disease. Although diagnosis is carried out by conventional radiographies in many medical institutions, this examination does not give us this information. Therefore, it becomes necessary to resort to other examination techniques, such as pneumoarthrography and magnetic resonance imaging. In our institution, we noticed the importance of hip arthrography in Legg-Calvé-Perthes disease from a study carried out by Laredo in 1985 that classified the disease into 5 groups based on the form and size of the femoral head and its position in the labrum. According to this researcher, group III, which he called "hip at premature arthrographic risk," requires action and yields the best results. The researchers have the opinion that dynamic pneumoarthrography is the best method for establishing an ideal position for the femoral head in relation to the acetabulum when surgical treatment is indicated.

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“…Kuwajima et al [10] reviewed 90 cases of LCP disease treated by either innominate osteotomy or SA and showed that there was a better and long-lasting coverage of the femoral head in the group of children who underwent SA. These findings provide yet further evidence that this procedure does not produce any growth disturbance of the lateral aspect of the acetabulum and that graft resorption is uncommon.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the fact that only 21 of our patients had reached skeletal maturity at the time of review, we used the Stulberg [6] and Mose classifications as radiographic prognostic indicators at the last follow-up. This extrapolation was based on several previous reports that found a significant correlation between results given before the end of growth and those found in early adulthood [7][8][9][10]. At the last follow-up, a computed tomography (CT) scan with two-and three-dimensional (2D and 3D, respectively) reconstructions was performed on 25 patients in order to assess the shape and AP and coronal length of the shelf as well as its remodeling and incorporation based on for any offset between the healed graft and the original acetabular roof.…”

Section: Shelf Acetabuloplasty Surgical Techniquementioning

confidence: 99%

Lateral shelf acetabuloplasty in the treatment of Legg–Calvé–Perthes disease: Improving mid-term outcome in severely deformed hips

Ghanem

Haddad

Haidar

et al. 2010

Journal of Children's Orthopaedics

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Purpose To evaluate the efficacy and safety of lateral shelf acetabuloplasty in Legg-Calvé-Perthes (LCP) hips classically associated with poor prognosis. Methods A retrospective study was conducted on 30 consecutive pediatric patients (average age 8.6 years) presenting with a severe and progressive form of LCP disease, with (16 hips) or without (14 hips) femoral varus osteotomy (FVO), and treated by lateral shelf acetabuloplasty. Shelf was done on hips presenting an aspherical incongruency with flattening, subluxation, and lack of femoral head coverage, as demonstrated on pre-operative radiographs and arthrography. All patients were reexamined at an average follow-up of 9.5 years (range 5.2-12 years). Clinical, radiological, and computed tomography scan evaluations were undertaken. Stulberg and Mose classifications were applied as radiological indicators of prognosis. Statistical analysis was performed using Student's t test and the Pearson correlation test with variance analysis for repetitive measures.

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Comparison Between Salter's Innominate Osteotomy and Augmented Acetabuloplasty in the Treatment of Patients with Severe Legg-Calvé-Perthes Disease. Analysis of 90 Hips with Special Reference to Roentgenographic Sphericity and Coverage of the Femoral Head

Cited by 6 publications

References 57 publications

Outcomes in Advanced Legg-Calvé-Perthes Disease Treated With the Staheli Procedure

Outcomes in Advanced Legg-Calvé-Perthes Disease Treated With the Staheli Procedure

Arthrogram in Legg-Calvé-Perthes Disease

Lateral shelf acetabuloplasty in the treatment of Legg–Calvé–Perthes disease: Improving mid-term outcome in severely deformed hips

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