Core Decompression for Juvenile Osteonecrosis
Core decompression may be used as adjunct for treatment in some cases of Legg-Calvé-Perthes disease (LCPD). The primary application is for patients with onset at 12 years of age or…
Consensus Statements on the Management of Perthes Disease
Consensus Statement Agree Agree with Minor Change Agree/Disagree in Part Disagree Goals of Treatment of Legg-Calvé-Perthes Disease 1. The primary long-term goal of treatment of Legg-Calvé-Perthes disease is to try…
Future Biologic Treatments for Perthes Disease
Standard surgical approaches for Perthes disease consist of nonoperative physical treatments or surgical treatment. Several investigators have been working on a better understanding of the pathophysiology and pathobiology of Perthes…
Treatment of the Symptomatic Healed Perthes Hip
Healed Legg-Calvé-Perthes disease may cause both intra-articular and extra-articular impingement, resulting in a symptomatic hip prior to the onset of osteoarthritis. Various impingement-relieving surgeries have been used in the past;…
Review of Total Hip Resurfacing and Total Hip Arthroplasty in Young Patients Who Had Legg-Calvé-Perthes Disease
Patients with Legg-Calvé-Perthes disease can often be successfully treated with femoral head–preserving measures, such as bracing, or containment procedures with osteotomies. However, in some cases, after resolution of the disease,…
Treatment of Coxa Brevis
Coxa brevis of the hip results in a morphologic change of the proximal femur creating pain and fatigue, leg-length discrepancy, and altered gait. The most common cause is a growth…
The Treatment of Femoral Head Deformity and Coxa Magna by the Ganz Femoral Head Reduction Osteotomy
The aspherical coxa magna femoral head can be made more spherical by intra-articular osteotomy. The Ganz technique of femoral head reduction osteotomy to reduce the size and restore the spherical…
Principles of Treating the Sequelae of Perthes Disease
Despite early treatment efforts, many patients with Perthes disease are left with residual femoral head deformity, which can be symptomatic with a residual limp and poor hip motion. Many such…
Articulated Distraction
Articular hip distraction can be applied either by using a monolateral articulated distractor or a circular fixator. The fixator should be aligned such that its axis is aligned with the…
Shelf and/or Reduction and Containment Surgery
Hinge abduction occurs early in the fragmentation stage of Legg-Calvé-Perthes disease and should be suspected when abduction and internal rotation are lost. It can be confirmed by an AP radiograph…
