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September 8, 2026CureusOpen Access

Variability in Bracing Design and Bracing Protocols for the Non-Operative Management of Legg-Calvé-Perthes Disease: A Scoping Systematic Review

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Authors

SSShubham SrivastavaAYAjeet Kumar YadavRSRohit Shukla

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Overview

Systematic review reveals marked variation in bracing designs and protocols for Legg-Calvé-Perthes disease, highlighting inconclusive evidence for non-operative containment.

Key Points

  • To evaluate and synthesize the variability in brace designs and treatment protocols used in the non-operative containment management of Legg-Calvé-Perthes disease.
  • Followed PRISMA-ScR guidelines and searched PubMed, Scopus, Science Citation Index, and Google Scholar for full-text English articles.
  • Included 12 studies that staged baseline disease using Catterall or Herring classifications and evaluated radiological outcomes via Mose or Stulberg criteria.
  • Favorable outcomes occurred predominantly in children diagnosed before eight years of age presenting with milder disease, with patient adherence acting as a critical modifier.
  • Brace designs—including the Atlanta Scottish Rite, trilateral socket, and non-weight-bearing ambulatory hip abduction orthoses—exhibited inconsistent clinical and radiological results alongside issues of discomfort and restricted mobility.
  • Pronounced heterogeneity across brace indications, duration of use, and protocols prevented definitive conclusions regarding overall containment efficacy.

Cite This Study

Srivastava et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd74958e84d0ff5b45bd4https://doi.org/10.7759/cureus.115826
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effectiveness of therapeutic methods for Legg-Calvé-Perthes disease according to staging, limits of conservative treatment: a systematic review with meta-analysis2024 · 9 citations
  2. 2Comparison between braced and non-braced Legg–Calvé–Perthes-disease patients: a radiological outcome study2004 · 15 citations
  3. 3Functional and radiological outcomes of management of Legg–Calvé–Perthes disease: A retrospective and prospective observational study2026
  4. 4Comparison between braced and non-braced Legg???Calv?????Perthes-disease patients: a radiological outcome study2004 · 29 citations
  5. 5Outcomes of new pogo-stick brace for Legg–Calvé–Perthes' disease2006 · 10 citations