Coxa plana: a radiological comparison of the rate of healing with conservative measures and after osteotomy

Marklund, Tage; Tillberg, Bengt

doi:10.1302/0301-620x.58b1.1270492

Cited by 28 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the study by Herring et al, the length of the fragmentation phase (IIa and IIb) was reported to be 9 months [31]. Marklund and Tillberg found that the duration of the reparative phase (IIIa and IIIb) was greater than the sum of the duration of stages Ia to IIb [32]. Given the limitations of estimating the duration of the different stages by analyzing sequential radiographs, we found no differences between the JIA group and controls.…”

Section: Discussioncontrasting

confidence: 43%

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Ross

Foeldvari²,

Krajewski

et al. 2021

Children

View full text Add to dashboard Cite

Background: This study aimed to determine the clinical and radiological course in children who had Legg–Calvé–Perthes disease (LCPD) associated with juvenile idiopathic arthritis (JIA). Methods: In a retrospective chart review between 2007 and 2019, eight consecutive JIA patients diagnosed with concomitant LCPD were identified and compared with a case-control group of 10 children with LCPD only. Results: LCPD was diagnosed at a mean age of 8.1 years (3.0–14.7) in children with JIA as compared to 6.1 years (2.9–10.0) in controls. According to the modified Harris Hip Score (mHHS), four children with JIA and all controls had an excellent result. Regarding the fragmentation severity and the duration of each stage, we found no differences using the lateral pillar and modified Elizabethtown classification. Five hips were classified as Stulberg I/II, two hips as Stulberg III, and one hip as Stulberg V with no evidence of hip dysplasia or severe overcoverage in either group. Conclusions: The radiological outcome of LCPD did not differ between both groups, while the clinical outcome was slightly better in controls. Physicians should be aware that children with LCPD may have JIA too. In suspicious cases, further investigations are recommended, and patients should be referred to pediatric rheumatologists.

show abstract

Section: Discussioncontrasting

confidence: 43%

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Ross

Foeldvari²,

Krajewski

et al. 2021

Children

View full text Add to dashboard Cite

show abstract

“…The indications for surgical treatment in Perthes' disease remain controversial despite several reports comparing the results of conservative and surgical treatment. [1][2][3][4][5][6] In our study by using matched pairs of conservatively and surgically treated patients we have tried to obtain a more rigorously controlled comparison between the two groups. We included only patients classified at presentation as Catterall group III and IV.…”

Section: Discussionmentioning

confidence: 99%

A paired study of Perthes’ disease comparing conservative and surgical treatment

Kamegaya

Saisu

Ochiai

et al. 2004

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We performed a paired study of mature patients with Perthes' disease to compare the radiological results after treatment between conservatively- and surgically-treated groups. One patient was selected from each group to create the pairs for this study. Each pair was strictly matched for gender, body mass index, age at onset, stage at the first visit, necrotic area and radiological at-risk signs and each was assessed by comparing the values of six radiological measurements. Eighteen pairs (36 hips) fitted the criteria. The radiological measurements which showed a statistically better result in the surgical groups were Mose's method, the acetabular-head index and leg-length discrepancy. There were no statistical differences in the slope of the acetabular roof and the articulotrochanteric distance. Four hips in the conservative group were in Stulberg class II, five in class III and nine in class IV. In the surgical group, 13 were in Stulberg class II, four in class III and one in class IV. We conclude that surgical treatment improved the sphericity of the femoral head and provided greater acetabular cover, but did not reform the acetabular roof. It was noteworthy that a greater leg-length discrepancy and a smaller articulotrochanteric distance were not seen in the surgical group. Our study suggests that surgical treatment is preferable in patients with severe Perthes' disease.

show abstract

“…Contrary to earlier views that surgical containment has no effect on the healing process 37 38 it has been shown that the duration of the disease is significantly shortened with a third of children by-passing the stage of fragmentation when a varus osteotomy is performed in the stage of avascular necrosis. 32 …”

Section: T Reatment P Lanningmentioning

confidence: 65%

Management of Perthes’ disease

Joseph

2015

IJOO

View full text Add to dashboard Cite

The main complication of Perthes’ disease is femoral head deformation. Evidence from the literature highlights two important factors related to the cause and timing of this complication. (1) Extrusion of the femoral head appears to be a major factor that leads to femoral head deformation. (2) Deformation of the femoral head occurs in the latter part of the stage of fragmentation. The likelihood of preventing femoral head deformation is over 16 times higher if extrusion is reversed or prevented by the early stage of fragmentation than if done later. Several treatment options have been described in children who present later in the course of the disease but the outcomes of all these measures do not compare with those of early intervention.

show abstract

Coxa plana: a radiological comparison of the rate of healing with conservative measures and after osteotomy

Cited by 28 publications

References 5 publications

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

A paired study of Perthes’ disease comparing conservative and surgical treatment

Management of Perthes’ disease

Contact Info

Product

Resources

About