Shelf Acetabuloplasty in the Treatment of Severe Legg-Calvé-Perthes Disease: Good Outcomes at Midterm Follow-Up
Joint Authors
Synder, M.
Grzegorzewski, Andrzej
Sibiński, Marcin
Kmieć, Krysztof
Krajewski, Karol
Polguj, Michał
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-27
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The aim of the study was to retrospectively review results of operative treatment for coverage deficit of femoral head in children with severe epiphysis displacement in Legg-Calvé-Perthes (LCP) disease.
The material included 23 shelf acetabuloplasty procedures for LCP disease.
The average age at diagnosis was 8.1 years (range 4–12).
Mean follow-up was 5.8 years (range from 2.2 to 11.2 years).
Mean Reimer's index decreased statistically significantly from a mean of 32% before surgery to 10.0% at the last follow-up (P<0.00001).
The mean Wiberg center-edge angle increased also statistically significantly from a mean of 17.3° before procedure to 32.3° at the last follow-up (P<0.00001).
According to the Stulberg classification, type I was observed in 2, type II in 13, type III in 6, and type IV in 2 hips.
There were no differences in the range of motion or leg length discrepancy in preoperative and postoperative standing.
Partial, not significant, bone graft resorption was noted in 6 cases in the first 6–9 months after surgery.
To conclude, shelf acetabuloplasty allows achieving good midterm results in the treatment of severe stages of LCP disease.
The procedure improves coverage of femoral head and allows its remodelling.
American Psychological Association (APA)
Grzegorzewski, Andrzej& Synder, M.& Kmieć, Krysztof& Krajewski, Karol& Polguj, Michał& Sibiński, Marcin. 2013. Shelf Acetabuloplasty in the Treatment of Severe Legg-Calvé-Perthes Disease: Good Outcomes at Midterm Follow-Up. BioMed Research International،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1031033
Modern Language Association (MLA)
Grzegorzewski, Andrzej…[et al.]. Shelf Acetabuloplasty in the Treatment of Severe Legg-Calvé-Perthes Disease: Good Outcomes at Midterm Follow-Up. BioMed Research International No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-1031033
American Medical Association (AMA)
Grzegorzewski, Andrzej& Synder, M.& Kmieć, Krysztof& Krajewski, Karol& Polguj, Michał& Sibiński, Marcin. Shelf Acetabuloplasty in the Treatment of Severe Legg-Calvé-Perthes Disease: Good Outcomes at Midterm Follow-Up. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1031033
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1031033