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Management of Late Onset Perthes: Evaluation of Distraction by External Fixator—5-Year Follow-Up
Joint Authors
Srivastava, Rajeshwar N.
Shukla, Prashant
Pushkar, Amit
Ali, Sabir
Singh, Ajai
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Hip distraction in Perthes’ disease unloads the joint, which negates the harmful effect of the stresses on the articular surfaces, which may promote the sound healing of the area of necrosis.
We have examined the effect of arthrodiastasis on the preservation of the femoral head in older children with Perthes’ disease.
Methods and Materials.
Twelve children with age more than 8 years with Perthes’ disease of less than one year were treated with hip distraction by a hinged monolateral external fixator.
Observation and Results.
Mean duration of distraction was 13.9 days.
These children were evaluated by clinicoradiological parameters for a mean period of 32.4 months.
There was a significant improvement in the range of movements and mean epiphyseal index, but the change in the percentage of uncovered head femur was insignificant.
There was significant improvement in Harris Hip score.
Conclusions.
Hip distraction by hinged monolateral external fixator seems to be a valid treatment option in cases with Perthes’ disease in the selected group of patients, where poor results are expected from conventional treatment.
American Psychological Association (APA)
Singh, Ajai& Srivastava, Rajeshwar N.& Shukla, Prashant& Pushkar, Amit& Ali, Sabir. 2014. Management of Late Onset Perthes: Evaluation of Distraction by External Fixator—5-Year Follow-Up. Advances in Orthopedics،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1034341
Modern Language Association (MLA)
Singh, Ajai…[et al.]. Management of Late Onset Perthes: Evaluation of Distraction by External Fixator—5-Year Follow-Up. Advances in Orthopedics No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1034341
American Medical Association (AMA)
Singh, Ajai& Srivastava, Rajeshwar N.& Shukla, Prashant& Pushkar, Amit& Ali, Sabir. Management of Late Onset Perthes: Evaluation of Distraction by External Fixator—5-Year Follow-Up. Advances in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1034341
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034341