Key result
This review highlights advanced surgical containment methods for Legg-Calvé-Perthes disease, specifically combined Salter innominate osteotomy with femoral varus osteotomy and triple pelvic osteotomy.
This review discusses the evolution of surgical treatments for Legg-Calvé-Perthes disease, focusing on advanced surgical containment methods to prevent femoral head deformation.
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Advanced containment options may be considered in select Perthes cases; leaves open need for prospective trials before practice change.
The goal of intervention in Legg-Calvé-Perthes disease has been to prevent femoral head deformation by containing the head within the acetabulum, using it as a mold for guiding femoral head development. With appropriate proximal femoral morphology, premature arthritis can hopefully be avoided. Both nonsurgical and surgical methods of treatment have evolved over time, from abduction casts and braces to advanced surgical containment methods, which are now the mainstay of treatment. The purpose of this study is to briefly review the evolution of surgical treatment of Legg-Calvé-Perthes disease, and to concentrate on 2 advanced surgical containment methods: combined Salter innominate osteotomy with femoral varus osteotomy and triple pelvic osteotomy.
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Wenger et al. (2011) conducted a review in Legg-Calvé-Perthes disease. Advanced surgical containment methods (combined Salter innominate osteotomy with femoral varus osteotomy and triple pelvic osteotomy) was evaluated. This review highlights advanced surgical containment methods for Legg-Calvé-Perthes disease, specifically combined Salter innominate osteotomy with femoral varus osteotomy and triple pelvic osteotomy.
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