Key result
Surgical treatment yielded significantly better outcomes than nonoperative treatment in children over 8.0 years old with lateral pillar B or B/C border group hips (p ≤ 0.05).
Why the study?
Does surgical treatment improve outcomes compared to nonoperative treatment in children with Legg-Calve-Perthes disease?
Population
438 patients with Legg-Calve-Perthes disease, age 6.0 to 12.0 years at onset, no prior treatment.
Comparison
Surgical treatment vs Nonoperative treatment
Design
Cohort
Follow-up
at skeletal maturity
Authors
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No treatment differences seen; leaves open optimal management and need for randomized trials in Perthes disease.
Cohort (n=438)
Yes
Does surgical treatment improve outcomes compared to nonoperative treatment in children with Legg-Calve-Perthes disease?
p-value: p=≤ 0.05
Surgical treatment improves outcomes in children over 8 years old with lateral pillar B or B/C border group Legg-Calve-Perthes disease compared to nonoperative management.
Wenger et al. (1991) conducted a cohort in Legg-Calvé-Perthes disease (n=438). Surgical treatment (femoral or innominate osteotomy) vs. Nonoperative treatment (no treatment, brace, or range-of-motion exercises) was evaluated on Outcome at skeletal maturity classified with the modified lateral pillar classification and the system of Stulberg et al. (p=≤ 0.05). Surgical treatment yielded significantly better outcomes than nonoperative treatment in children over 8.0 years old with lateral pillar B or B/C border group hips (p ≤ 0.05).
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