Arthroscopic femoral head allografting followed by DFO and PAO can be successfully utilized for medial femoral head osteochondral fragmentation in sequelae of Perthes disease.
Supports combined hip preservation in select young adults with Perthes sequelae; leaves open durability and generalizability.
CASE: We describe the unique case of a 20-year-old man with a history of Legg-Calve-Perthes disease, hip dysplasia, and osteochondral fragmentation of the medial femoral head. We performed arthroscopic femoroplasty and femoral head allografting, followed by a valgus-producing derotational femoral osteotomy (DFO) and periacetabular osteotomy (PAO). At 1-year follow-up, the patient achieved osseous union and complete femoral head healing with return to his active hobbies. CONCLUSION: We describe the successful utilization of arthroscopic allografting for medial femoral head osteochondral fragmentation. To our knowledge, this is the first report on femoral head arthroscopic allografting before DFO and PAO.
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Girardi et al. (2024) studied this question.
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