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Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up

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Abstract

Purpose

This study presents the results of a prospective consecutive cohort of patients with Legg-Calvé-Perthes disease (LCPD) operated with triple osteotomy of the pelvis (TOP) between 1989 and 2005. We attempted to determine whether the results of TOP remain stable with time and consequently lower the risk of subsequent osteoarthritis. The primary study aims were to determine the maintenance of head coverage and joint congruity, and functional outcomes of this surgery.

Methods

Forty-five patients with a mean follow-up of 15.2 years (range eight to 24) were included.

Results

At latest follow-up, two patients were lost to follow-up, and two required a surgical reoperation. Cumulative maintenance of head coverage and joint congruity rate for all TOP was 84.6 % (95 % CI: 82.3–90.6 %) at 15 years. Factors significantly associated with poor long-term results were the age at diagnosis and Greene index.

Conclusion

TOP in LCPD provides satisfactory and reproducible long-term clinical results.

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Conflict of interest

Each author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

Ethical review committee statement

Each author certifies that his institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Authors and Affiliations

  1. Service de Chirurgie Orthopédique et de Traumatologie, Hôpital des Enfants, Toulouse, France

    Régis Pailhé, Etienne Cavaignac, Jérôme Murgier, Jean Philippe Cahuzac, Jerôme Sales de Gauzy & Franck Accadbled

  2. Service de Chirurgie Orthopédique, Hôpital Sud, Av Kimberley, 38130, Grenoble Cedex, France

    Régis Pailhé

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  1. Régis Pailhé
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  2. Etienne Cavaignac
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  4. Jean Philippe Cahuzac
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  5. Jerôme Sales de Gauzy
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  6. Franck Accadbled
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Correspondence to Régis Pailhé.

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Pailhé, R., Cavaignac, E., Murgier, J. et al. Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up. International Orthopaedics (SICOT) 40, 115–122 (2016). https://doi.org/10.1007/s00264-015-2687-9

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  • DOI: https://doi.org/10.1007/s00264-015-2687-9

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