Report of Break-out Session: Management of Sequelae of Legg-Calvé-Perthes Disease

Sink, Ernest L.; Zaltz, Ira; Participants, Session

doi:10.1007/s11999-012-2623-x

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Over 50% of patients develop symptomatic degenerative joint disease by the sixth decade of life ( 45 ). Deformity typically presents as a high-riding greater trochanter, a short femoral neck, and a misshapened/enlarged femoral head with variable acetabular dysplasia, retroversion, and joint incongruity ( 46 , 47 ).…”

Section: Perthes-like Diseasesmentioning

confidence: 99%

“…The remainder of the correction is tailored to the specific deformity present. In the setting of femoral retroversion, a proximal femur valgus derotational osteotomy procedure may be of benefit; if acetabular dysplasia is present, a PAO may be of benefit if instability exists following femoral surgery; and, in the setting of acetabular malrotation, an acetabular rim trimming may be of benefit ( 46 , 47 ). Extra-articular impingement and abductor weakness may result from a high-riding greater trochanter.…”

Section: Perthes-like Diseasesmentioning

confidence: 99%

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Techniques and Results for Open Hip Preservation

et al. 2015

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While hip arthroscopy grows in popularity, there are still many circumstances under which open hip preservation is the most appropriately indicated. This article specifically reviews open hip preservation procedures for a variety of hip conditions. Femoral acetabular impingement may be corrected using an open surgical hip dislocation. Acetabular dysplasia may be corrected using a periacetabular osteotomy. Acetabular protrusio may require surgical hip dislocation with rim trimming and a possible valgus intertrochanteric osteotomy. Legg–Calve–Perthes disease produces complex deformities that may be better served with osteotomies of the proximal femur and/or acetabulum. Chronic slipped capital femoral epiphysis may also benefit from a surgical hip dislocation and/or proximal femoral osteotomy.

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Section: Perthes-like Diseasesmentioning

confidence: 99%

Section: Perthes-like Diseasesmentioning

confidence: 99%

Techniques and Results for Open Hip Preservation

et al. 2015

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Operative treatment of FAI: open hip preservation surgery

Hellman

Riff

Haughom

et al. 2013

Curr Rev Musculoskelet Med

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Femoroacetabular Impingement (FAI) is characterized by abnormal contact of the hip joint. Many etiologies cause this painful condition, which leads to early osteoarthritis. While hip arthroscopy has become the most prevalent way to surgically correct a hip, some presentations of FAI require open surgical hip preservation techniques to fully address the pathology at hand. Certain head neck deformities may require open surgical hip dislocation utilizing a trochanteric slide osteotomy. A retroverted acetabulum may require an open periacetabular osteotomy to gain anteversion and eliminate impingement in the hip joint. Acetabular protrusio may require surgical hip dislocation with rim trimming and a possible valgus intertrochanter osteotomy. The sequelae of Legg-Calvé-Perthes disease causes complex abnormalities about the hip joint, which may require open surgery to address both the intra-articular pathology and the extra-articular pathology. Osteotomies of the proximal femur and acetabulum may all be necessary to restore a hip back to normal morphology. Chronic slipped capital femoral epiphysis (SCFE) may also require open surgical hip dislocations and complex intertrochanter osteotomies to recreate normal morphology.

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Report of Break-out Session: Management of Sequelae of Legg-Calvé-Perthes Disease

Cited by 2 publications

References 5 publications

Techniques and Results for Open Hip Preservation

Techniques and Results for Open Hip Preservation

Operative treatment of FAI: open hip preservation surgery

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