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Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes’ disease—a long term follow-up

International Orthopaedics volume 28, pages 44–47 (2004)Cite this article

Abstract

Between 1974 and 1999 we performed 15 intertrochanteric osteotomies in 14 patients with a painful hip secondary to Legg-Calvé-Perthes’ disease. In seven patients, the osteotomy was combined with advancement of the greater trochanter, acetabular roof plasty, or both. One patient died 5 years after the osteotomy and one patient was lost to follow-up. One patient had a revision osteotomy 21 years after the initial osteotomy, and five patients had a prosthetic replacement 8–25 years after the osteotomy. The average follow-up of the remaining osteotomies was 11.3 years. An intertrochanteric osteotomy can decrease pain and improve clinical function medium and long term without radiological progression of joint degeneration.

Résumé

Entre 1974 et 1999 nous avons exécuté 15 ostéotomies intertrochantériennes chez 14 malades avec une hanche douloureuse secondaire à une maladie de Legg Calvé Perthes. chez 7 malades l’ostéotomie a été combinée avec avancement du grand trochanter et/ou une plastie acétabulaire. Un malade est mort 5 années après l’ostéotomie et un malade a été perdu de vue. Un malade a eu une ostéotomie itérative 21 années après l’ostéotomie initiale et cinq malades ont eu un remplacement prothétique 8 à 25 années après l’ostéotomie. La moyenne de suivi des autres ostéotomies était de 11,3 années. Une ostéotomie intertrochantérienne peut diminuer la douleur et améliorer la fonction clinique à moyenne et à longue échéance sans progression radiologique de la dégénérescence articulaire.

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Affiliations

  1. Orthopaedic Research Centre Amsterdam, University Hospital AMC, Amsterdam, The Netherlands

    G. A. B. M. Pécasse

  2. Department of Orthopaedic Surgery, University Hospital AMC, Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands

    H. Eijer, D. Haverkamp & R. K. Marti

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  1. G. A. B. M. Pécasse
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  2. H. Eijer
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  3. D. Haverkamp
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  4. R. K. Marti
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Correspondence to R. K. Marti.

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Pécasse, G.A.B.M., Eijer, H., Haverkamp, D. et al. Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes’ disease—a long term follow-up. International Orthopaedics (SICOT) 28, 44–47 (2004). https://doi.org/10.1007/s00264-003-0513-2

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  • DOI: https://doi.org/10.1007/s00264-003-0513-2

Keywords

  • Femoral Head
  • Great Trochanter
  • Acetabular Dysplasia
  • Valgus Osteotomy
  • Intertrochanteric Osteotomy