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Early clinical and radiological outcomes after double osteotomy in patients with late presentation Legg-Calvé-Perthes disease / Carlos Augusto Sarassa Velásquez
Título : Early clinical and radiological outcomes after double osteotomy in patients with late presentation Legg-Calvé-Perthes disease Tipo de documento : documento electrónico Autores : Carlos Augusto Sarassa Velásquez, Fecha de publicación : 2008 Títulos uniformes : Journal of Children's Orthopaedics Idioma : Inglés (eng) Palabras clave : Osteotomy Legg-Calvé-Perthes disease Resumen : Purpose: Legg-Calvé-Perthes disease is an idiopathic avascular necrosis of the femoral head. Although many surgical approaches to treat the late presentation of this pathology have been proposed, there are few reports about the early results of the double osteotomy procedure (femoral varus osteotomy combined with Salter innominate osteotomy). The purpose of this study was to describe the early results obtained with the double osteotomy in patients with late presentation of Legg-Calvé-Perthes disease. Methods: Cross-sectional evaluation of ten patients intervened with double osteotomy. There were seven males and three females with a mean age of 9.2 ± 1.7 years [standard deviation (SD)]. The average post-surgical time of evaluation was of 46.5 ± 26.2 months. Results: Of the ten evaluated patients, four had a Catterall III and six had a Catterall IV disease. According to Herring classification, three patients were Herring B and seven were Herring C. The epiphyseal extrusion average before and after the surgical procedure was 19.3 ± 12.4 and 12.1 ± 14.9%, respectively. In accordance with the Ratliff classification and Lloyd Roberts radiological results, the following were the postoperative clinical results: four good, five fair and one poor. Based on the Stulberg classification, there was one patient in class I, five in class II, three in class III and one in class IV. Conclusion: The surgical treatment for late Perthes disease with the best expected outcome is still a challenge. According to the resultsreported here, the double osteotomy could be considered as an alternative to treat this entity. Mención de responsabilidad : Carlos A. Sarassa, Ana Milena Herrera, Jaime Carvajal, Luisa F. Gomez, Camilo A. Lopez, Andres F. Rojas Referencia : J Child Orthop. 2008 Dec;2(6):425-9. DOI (Digital Object Identifier) : 10.1007/s11832-008-0132-y PMID : 19308538 En línea : https://online.boneandjoint.org.uk/doi/full/10.1007/s11832-008-0132-y Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4425 Early clinical and radiological outcomes after double osteotomy in patients with late presentation Legg-Calvé-Perthes disease [documento electrónico] / Carlos Augusto Sarassa Velásquez, . - 2008.
Obra : Journal of Children's Orthopaedics
Idioma : Inglés (eng)
Palabras clave : Osteotomy Legg-Calvé-Perthes disease Resumen : Purpose: Legg-Calvé-Perthes disease is an idiopathic avascular necrosis of the femoral head. Although many surgical approaches to treat the late presentation of this pathology have been proposed, there are few reports about the early results of the double osteotomy procedure (femoral varus osteotomy combined with Salter innominate osteotomy). The purpose of this study was to describe the early results obtained with the double osteotomy in patients with late presentation of Legg-Calvé-Perthes disease. Methods: Cross-sectional evaluation of ten patients intervened with double osteotomy. There were seven males and three females with a mean age of 9.2 ± 1.7 years [standard deviation (SD)]. The average post-surgical time of evaluation was of 46.5 ± 26.2 months. Results: Of the ten evaluated patients, four had a Catterall III and six had a Catterall IV disease. According to Herring classification, three patients were Herring B and seven were Herring C. The epiphyseal extrusion average before and after the surgical procedure was 19.3 ± 12.4 and 12.1 ± 14.9%, respectively. In accordance with the Ratliff classification and Lloyd Roberts radiological results, the following were the postoperative clinical results: four good, five fair and one poor. Based on the Stulberg classification, there was one patient in class I, five in class II, three in class III and one in class IV. Conclusion: The surgical treatment for late Perthes disease with the best expected outcome is still a challenge. According to the resultsreported here, the double osteotomy could be considered as an alternative to treat this entity. Mención de responsabilidad : Carlos A. Sarassa, Ana Milena Herrera, Jaime Carvajal, Luisa F. Gomez, Camilo A. Lopez, Andres F. Rojas Referencia : J Child Orthop. 2008 Dec;2(6):425-9. DOI (Digital Object Identifier) : 10.1007/s11832-008-0132-y PMID : 19308538 En línea : https://online.boneandjoint.org.uk/doi/full/10.1007/s11832-008-0132-y Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4425 Reserva
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