Primary Results of Conservative Treatment and Osteotomy in Coxa Plana

Marklund, Tage; Tillberg, Bengt

doi:10.1097/00003086-197709000-00018

Cited by 2 publications

(8 citation statements)

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“…Yet most Catterall group II patients do well without any treatment in this age group. Marklund and Tilberg [12] compared conservative treatment in one institute and surgical treatment in another with differing guidelines of treatment. They concluded that there was no evidence that varus femoral osteotomy interrupted LCP disease or accelerated healing.…”

Section: Discussionmentioning

confidence: 99%

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Legg–Calvé–Perthes disease affecting children less than eight years of age: a paired outcome study

Sharma

Shewale²,

Sibiński³

et al. 2008

International Orthopaedics (SICO

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Section: Discussionmentioning

confidence: 99%

“…Controlled trials are lacking. Comparative studies to date have used simplistic and varying criteria to assess the groups [2,3,8,11,12,18]. In particular, patients are not matched with regard to severity of the disease.…”

Section: Introductionmentioning

confidence: 99%

Legg–Calvé–Perthes disease affecting children less than eight years of age: a paired outcome study

Sharma

Shewale²,

Sibiński³

et al. 2008

International Orthopaedics (SICO

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“…In terms of study design, there were two multicentre prospective cohort studies, 34 , 40 six single-centre prospective cohort studies, 28 , 31 , 33 , 35 , 36 , 39 one multicentre retrospective cohort study 30 and six retrospective cohort studies. 26 , 27 , 29 , 32 , 37 , 38 …”

Section: Resultsmentioning

confidence: 99%

“…Four studies included at least one comparator intervention comprising multiple treatment components. 26 , 27 , 33 , 36 Two of these studies combined either a brace 26 or a cast after surgical intervention (tenotomy) 27 with physiotherapy if clinically indicated. A third study compared two groups with traction and either calliper application or surgery.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of the non-surgical treatment of Perthes’ disease

et al. 2020

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Aims Perthes’ disease is a condition leading to necrosis of the femoral head. It is most common in children aged four to nine years, affecting around one per 1,200 children in the UK. Management typically includes non-surgical treatment options, such as physiotherapy with/without surgical intervention. However, there is significant variation in care with no consensus on the most effective treatment option. Methods This systematic review aims to evaluate the effectiveness of non-surgical interventions for the treatment of Perthes’ disease. Comparative studies (experimental or observational) of any non-surgical intervention compared directly with any alternative intervention (surgical, non-surgical or no intervention) were identified from: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMcare, Allied and Complementary Medicine Database (AMED), and the Physiotherapy Evidence Database (PEDro). Data were extracted on interventions compared and methodological quality. For post-intervention primary outcome of radiological scores (Stulberg and/or Mose), event rates for poor scores were calculated with significance values. Secondary outcomes included functional measures, such as range of movement, and patient-reported outcomes such as health-related quality of life. Results In all, 15 studies (1,745 participants) were eligible for inclusion: eight prospective cohort studies, seven retrospective cohort studies, and no randomized controlled trials were identified. Non-surgical interventions largely focused on orthotic management (14/15 studies) and physical interventions such as muscle strengthening or stretching (5/15 studies). Most studies were of high/unknown risk of bias, and the range of patient outcomes was very limited, as was reporting of treatment protocols. Similar proportions of children achieving poor radiological outcomes were found for orthotic management and physical interventions, such as physiotherapy or weightbearing alteration, compared with surgical interventions or no intervention. Conclusion Evidence from non-randomized studies found no robust evidence regarding the most effective non-surgical interventions for the treatment of children with Perthes’ disease. Future research, employing randomized trial designs, and reporting a wider range of patient outcomes is urgently needed to inform clinical practice. Cite this article: Bone Jt Open 2020;1-12:720–730.

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Primary Results of Conservative Treatment and Osteotomy in Coxa Plana

Cited by 2 publications

References 0 publications

Legg–Calvé–Perthes disease affecting children less than eight years of age: a paired outcome study

Legg–Calvé–Perthes disease affecting children less than eight years of age: a paired outcome study

A systematic review of the non-surgical treatment of Perthes’ disease

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