Why the study?
Does varus osteotomy improve femoral head sphericity at healing in older children with late-onset Perthes' disease compared to conservative treatment?
Population
78 older children from south-west India, aged 7 to 12 years at the onset of the disease, with stage-I or…
Comparison
Open-wedge subtrochanteric varus osteotomy with… vs Symptomatic treatment by conservative methods.
Design
Cohort
Follow-up
At the time of healing (short-term)
Authors
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Varus osteotomy was associated with improved sphericity at healing; leaves open need for RCTs before changing practice in late-onset Perthes'.
Does varus osteotomy improve femoral head sphericity at healing in older children with late-onset Perthes' disease compared to conservative treatment?
Early surgical containment with varus osteotomy in children over seven years of age with Perthes' disease significantly improves femoral head sphericity at healing compared to conservative treatment.
Huban Thomas (1996) studied this question.
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