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Triple pelvic osteotomy in the treatment of Legg-Calve-Perthes disease

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Abstract

This article presents the results of Legg-Calve-Perthes (LCP) disease treatment using triple pelvic osteotomy. Thirty patients were analysed. The conditions for inclusion in the study were complete medical documentation and follow-up until the disease was resolved. Postoperatively, no patients were immobilised. Rehabilitation was initiated early in all patients, and full weight bearing was allowed after ten weeks. With this method, an increase of the CE angle of 17.43 ± 4.020° was achieved. Containment was increased from an initial 6.67% to 53.33% of patients at the final check-up. Similar improvement was achieved by using Herring classification of the damage; preoperatively most hips belonged to group C, and postoperatively to group A. Postoperatively, functional results were also considerably improved. The authors recommend triple pelvic osteotomy as the method of choice in the treatment of severe cases of LCP disease.

Resumé

Les auteurs présentent les résultats de la maladie de LCP traitée par triple ostéotomie pelvienne. 30 patients ont été analysés. Les conditions d’inclusion ont été les possibilités d’analyser de façon complète tous les documents avec une pathologie soit en fin d’évolution. En post-opératoire aucun des patients n’a été immobilisé et tous ont bénéficié d’une rééducation précoce avec un appui complet à 10 semaines. Cette méthode montre une amélioration de l’angle CE de 17.43±4.020°. La congruence s’est améliorée de 6,67% à 53,33% à la dernière revue. Une amélioration indentique a été retrouvée avec la classification de Herring avec une majorité de hanche en C préopératoire et en A post-opératoire. De même, en ce qui concerne les résultats fonctionnels. Les auteurs pensent que la triple ostéotomie pelvienne est une méthode de choix dans le traitement des lésions sévères de la maladie de LCP.

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Authors and Affiliations

  1. Pediatric Orthopaedic Service, Institute for Orthopaedic Surgery “Banjica”, Belgrade, Serbia

    Zoran Vukasinovic & Dusko Spasovski

  2. Institute for Orthopaedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade, Serbia

    Cedomir Vucetic

  3. Neuro-Orthopaedic Service, Institute for Orthopaedic Surgery “Banjica”, Belgrade, Serbia

    Goran Cobeljic

  4. Pediatric Hospital, Medical Center “Dr Dragisa Misovic”, Belgrade, Serbia

    Zorica Zivkovic

  5. Institute for Physical Medicine and Rehabilitation, Clinical Center of Serbia, Belgrade, Serbia

    Dragana Matanovic

Authors
  1. Zoran Vukasinovic
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  2. Dusko Spasovski
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  3. Cedomir Vucetic
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  4. Goran Cobeljic
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  5. Zorica Zivkovic
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  6. Dragana Matanovic
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Correspondence to Zoran Vukasinovic.

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Vukasinovic, Z., Spasovski, D., Vucetic, C. et al. Triple pelvic osteotomy in the treatment of Legg-Calve-Perthes disease. International Orthopaedics (SICOT) 33, 1377–1383 (2009). https://doi.org/10.1007/s00264-009-0745-x

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  • DOI: https://doi.org/10.1007/s00264-009-0745-x

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