Why the study?
What is the long-term outcome of primary osteochondritis of the hip (Legg-Calvé-Perthes’ disease)?
What is the long-term outcome of primary osteochondritis of the hip (Legg-Calvé-Perthes’ disease)?
The shape of the femoral head at skeletal maturity is the best prognostic indicator for long-term hip outcomes in Legg-Calvé-Perthes' disease.
Guides prognosis counseling at skeletal maturity in Perthes disease; leaves open whether early interventions alter femoral head shape or outcomes.
We have previously reported in 57 patients (60 hips) with a past history of Legg-Calvé-Perthes’ disease at a mean of 34 years after the onset of symptoms. From this original group, 48 patients (51 hips) were also available for review after a mean of 50.2 years. We consider that the best prognostic indicator for the hip is the shape of the femoral head at skeletal maturity. Normal or flattened spherical heads present few problems. Irregular or very irregular heads are associated with a poor outcome.
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F Lecuire (2002) studied this question.
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