Why the study?
Does containment (nonoperative and surgical methods) improve outcomes in patients with Legg-Calvé-Perthes disease?
Does containment (nonoperative and surgical methods) improve outcomes in patients with Legg-Calvé-Perthes disease?
Containment using nonoperative or surgical methods is the recommended approach for managing Legg-Calvé-Perthes disease to achieve improved results.
Supports containment in Legg-Calvé-Perthes disease; leaves open need for prospective trials before changing practice.
The essence of management of Legg-Calvé-Perthes disease (LCPD) should be the provision of containment and its maintenance during epiphyseal remodeling. Containment may be achieved by a variety of nonoperative and surgical methods. The choice for individual patients depends on the patients' age at onset and the degree of epiphyseal involvement. The specifics of treatment and its duration are presented in 2 tables for practical assistance in the proper choices. Comparative analysis has confirmed that improved results can be obtained when patients are treated by this approach.
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Klisić et al. (1980) studied this question.
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