Why the study?
Does proximal femoral varus osteotomy improve radiological outcomes compared to orthosis or physiotherapy in children over six years with >50% femoral head necrosis in Perthes' disease?
Population
368 patients with unilateral Perthes' disease from 28 hospitals in Norway. Subgroup of interest: 152…
Comparison
Proximal femoral varus osteotomy (n=71) vs Scottish Rite abduction orthosis or physiotherapy
Design
Cohort
Follow-up
five years
Authors
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May support varus osteotomy in severe Perthes' over age 6; leaves open need for RCTs before practice change.
Does proximal femoral varus osteotomy improve radiological outcomes compared to orthosis or physiotherapy in children over six years with >50% femoral head necrosis in Perthes' disease?
Proximal femoral varus osteotomy provides significantly better radiological outcomes than orthosis or physiotherapy in children over six years with severe Perthes' disease.
Wiig et al. (2008) studied this question.
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