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July 1, 2016Current Orthopaedic Practice

Shelf acetabuloplasty for reconstructive or salvage surgical treatment in Legg-Calvé-Perthes disease

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Key result

Shelf acetabuloplasty for symptomatic Legg-Calvé-Perthes disease significantly improved femoral head coverage, with 70% of hips achieving Stulberg 1 to 3 at final follow-up.

Why the study?

Does shelf acetabuloplasty improve radiographic and clinical outcomes in patients with symptomatic Legg-Calvé-Perthes disease?

Population

17 patients with symptomatic Legg-Calvé-Perthes disease, mean age at diagnosis 7 years, mean age at surgery…

Design

Case_series

Follow-up

Mean 5 years

Authors

APAndrea PaulsonCincinnati Children's Hospital Medical CenterCMCary H. MielkeShriners Hospitals for Children - Shreveport

Discussion

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Implication

May support consideration in symptomatic Legg-Calvé-Perthes disease; leaves open need for controlled trials to confirm benefits.

Study Design

Type

Cohort (n=17)

Structured PICO

Does shelf acetabuloplasty improve radiographic and clinical outcomes in patients with symptomatic Legg-Calvé-Perthes disease?

P
Population
17 patients with symptomatic Legg-Calvé-Perthes disease treated with shelf acetabuloplasty at a mean age of 9 years, followed to a mean age of 14 years.
E
Exposure
Shelf acetabuloplasty (SA)
O
Outcome
Radiographic parameters (femoral head coverage, lateral acetabular shape, articulotrochanteric distance), range of motion, Stulberg classification, and Adolescent (parent report) Outcomes Data Collection Instrument (PODCI) outcomes at final follow-up.surrogate

Shelf acetabuloplasty provides significant improvement in femoral head coverage and is well-received by patients as a treatment for symptomatic Legg-Calvé-Perthes disease.

Cite This Study

Paulson et al. (2016) conducted a cohort in Legg-Calvé-Perthes (LCP) disease (n=17). Shelf acetabuloplasty was evaluated on Radiographic parameters of femoral head coverage, Stulberg classification, and PODCI outcomes. Shelf acetabuloplasty for symptomatic Legg-Calvé-Perthes disease significantly improved femoral head coverage, with 70% of hips achieving Stulberg 1 to 3 at final follow-up.

synapsesocial.com/papers/6a8820bd6304c7fd8e4df3d6https://doi.org/10.1097/bco.0000000000000389
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Combined Osteotomy as a Salvage Procedure for Severe Legg-Calvé-Perthes Disease1992 · 63 citations
  2. 2The weight-bearing abduction brace for the treatment of Legg-Perthes disease.1992 · 110 citations
  3. 3Lateral shelf acetabuloplasty in Perthes’ disease1999 · 36 citations
  4. 4Modified Salter osteotomy.1982 · 48 citations
  5. 5[The results of acetabular shelf procedures in Legg-Calve-Perthes disease].2003 · 7 citations