We have located links that may give you full text access.
Clinical Outcomes of Open-Wedge Varus Derotation Osteotomy in Legg-Calve-Perthes Disease Among 6-12-Year-Old Children.
Curēus 2023 June
Background Legg-Calve-Perthes (LCP) disease during early childhood might lead to impaired blood circulation to the femoral head causing osteoarthritis and avascular necrosis of the femoral head. In most cases of children diagnosed after the age of nine years, the progression of LCP disease is associated with poor outcomes causing disability. This study aimed to evaluate the clinical and radiological outcomes of varus derotation osteotomy in children with LCD disease with a late presentation at 6-12 years of age. Methodology This prospective study was performed among 25 6-12-year-old children who were diagnosed with LCD disease. Children were classified per Herring's Lateral Pillar and Catterall classification. They were treated with open-wedge varus derotation osteotomy, and clinical, radiological, and functional parameters were assessed postoperatively. The postoperative grading was done using the Catterall classification. Results In this study, significant improvement in the postoperative mean Harris Hip Score (82.96 ± 4.3 vs. 85.36 ± 3.75; p = 0.000) was observed. In addition, the mean muscle mass reduced postoperatively compared to the preoperative mass (2.64 ± 3.82 vs. 8.52 ± 3.73 mm; p = 0.000). Based on the Catterall classification, 56% of children showed good outcomes, and 36% showed fair outcomes. Regarding complications, 20% had postoperative infections. Conclusions In our study, open-wedge varus derotation osteotomy showed improved clinical and radiological outcomes in children with late presentation of LCD disease.
Full text links
Related Resources
Trending Papers
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Prevention and treatment of ischaemic and haemorrhagic stroke in people with diabetes mellitus: a focus on glucose control and comorbidities.Diabetologia 2024 April 17
British Society for Rheumatology guideline on management of adult and juvenile onset Sjögren disease.Rheumatology 2024 April 17
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Albumin: a comprehensive review and practical guideline for clinical use.European Journal of Clinical Pharmacology 2024 April 13
Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists.Mayo Clinic Proceedings 2024 April
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app