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THA Following Pediatric Hip Diseases (Legg-Calvé-Perthes/Slipped Capital Femoral Epiphysis)

  • Eustathios Kenanidis
  • Panagiotis Kakoulidis
  • Vasileios Lampridis
  • Michail E. Klontzas
  • Eleftherios Tsiridis
  • Jan F. A. Somers
  • Ran Schwarzkopf
  • Andrew Brian Old
  • Jens Vanbiervliet
  • Jean-Pierre Simon
Chapter

Abstract

Legg-Calvé-Perthes disease (LCPD) represents a type of idiopathic avascular necrosis of the femoral head which typically develops during childhood [1, 2]. Its etiology is considered to be multifactorial but is generally unknown; genetic, constitutional, and environmental factors have been implicated [3]. Despite receiving treatment, some patients initially develop morphological changes in the femoral head and secondarily acetabular deformity, femoroacetabular in congruency, and the abnormal hip movement that could lead to early-onset secondary osteoarthritis [1, 4]. In a current prospective cohort, 5% of LCPD patients underwent THA at 20 years after nonoperative treatment [5]. Stulberg classification is used as prognostic tool of hip osteoarthritis at skeletal maturity [2]; Stulberg types III–V are more susceptible to the development of early secondary hip osteoarthritis [1].

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
  • Panagiotis Kakoulidis
    • 1
  • Vasileios Lampridis
    • 1
  • Michail E. Klontzas
    • 2
  • Eleftherios Tsiridis
    • 3
  • Jan F. A. Somers
    • 4
  • Ran Schwarzkopf
    • 5
  • Andrew Brian Old
    • 6
  • Jens Vanbiervliet
    • 7
  • Jean-Pierre Simon
    • 8
  1. 1.Academic Orthopaedic UnitAristotle University Medical SchoolThessalonikiGreece
  2. 2.Imperial College London, Biological Systems Engineering LabLondonUK
  3. 3.Academic Orthopaedic UnitPapageorgiou General Hospital, Aristotle University Medical SchoolThessalonikiGreece
  4. 4.Department of SurgeryYan Yperman HospitalYpresBelgium
  5. 5.Department of Orthopaedic SurgeryNYU Langone Health Orthopaedic Hospital, Hospital for Joint DiseasesNew YorkUSA
  6. 6.Premier OrthopaedicsPenn Medicine Chester County HospitalWest ChesterUSA
  7. 7.Yan Yperman HospitalYpresBelgium
  8. 8.University Hospitals LeuvenLeuvenBelgium

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