Why the study?
Does abduction weight-bearing plaster treatment improve the contour of the femoral head and shorten disease duration in patients with Legg-Perthes' disease compared to previous methods?
Does abduction weight-bearing plaster treatment improve the contour of the femoral head and shorten disease duration in patients with Legg-Perthes' disease compared to previous methods?
Abduction weight-bearing plaster treatment appears to preserve the femoral head contour and allow continued activity in children with Legg-Perthes' disease.
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May support abduction weight-bearing plaster in Legg-Perthes' disease; leaves open confirmation versus modern care in prospective trials.
The duration of Legg-Perthes' disease seems somewhat shortened by abduction weightbearing plaster treatnlent. The average age of onset of our sixty patients at the start of this treatment was seven years nine months. The patients were treated in abduction plasters for an average of nineteen months. 2. The contour of the femoral head in relation to the acetabulum is better preserved than after our previous methods of treatment. We have evaluated our cases by the method of Mose, by the epiphysial index of Eyre-Brook and the epiphysial quotient of Sjovall, and by the centre/edge angle of Wiberg. 3. There was no undue influence on the growing epiphysis and no evidence of ligamentous strain. 4. With this type of protected weight-bearing, the patients were kept active when both hips were affected. 5. No patient with unilateral disease showed Legg-Perthes' changes on the opposite side while under treatment or at follow-up. 6. The children were able to be at home and to attend school.
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Petrie et al. (1971) studied this question.
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