Why the study?
Does early containment surgery (during avascular necrosis or early fragmentation) improve the chances of retaining a spherical femoral head compared to later surgery in children with Perthes disease?
Population
97 children with Perthes disease
Comparison
Containment surgery performed during the stage… vs Containment surgery performed later
Design
Cohort
Follow-up
at healing
Authors
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Early containment surgery may improve femoral head sphericity in Perthes; leaves open confirmation by randomized trials.
Does early containment surgery (during avascular necrosis or early fragmentation) improve the chances of retaining a spherical femoral head compared to later surgery in children with Perthes disease?
Containment surgery for Perthes disease should be performed before the advanced stage of fragmentation to maximize the chances of retaining a spherical femoral head.
Joseph et al. (2003) studied this question.
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