Key result
Early containment by femoral or innominate osteotomy appears effective in preserving femoral head sphericity in Legg-Calvé-Perthes disease.
Population
Patients with Legg-Calvé-Perthes disease
Design
Review
Authors
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May support early containment in Perthes disease; leaves open need for prospective trials before practice change.
Early containment procedures appear effective in preserving femoral head sphericity in Legg-Calvé-Perthes disease, while experimental studies suggest modulating osteoclastic function may prevent collapse.
Daniel et al. (2012) conducted a review in Legg-Calvé-Perthes disease. Containment by femoral osteotomy, innominate osteotomy, or shelf procedures was evaluated. Early containment by femoral or innominate osteotomy appears effective in preserving femoral head sphericity in Legg-Calvé-Perthes disease.
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