Valgus Osteotomy for Hinge Abduction
Failure of the enlarged and deformed anterolateral portion of the femoral head to roll into the acetabulum during abduction alters hip joint mechanics. The resultant hinge abduction is associated with…
Containment Methods for Treatment of Legg-Calvé-Perthes Disease
The objective of containment treatment in Perthes disease is to hold the femoral head in the acetabulum during the period of “biologic plasticity” while necrotic bone is resorbed and living…
Principles of Treatment in Late Stages of Perthes Disease
It is of paramount importance to distinguish hips that may or may not be suitable for containment in the transitional stage (fragmentation to early reossification stage), because long-term clinical and radiological…
Principles of Containment Treatment Aimed at Preventing Femoral Head Deformation in Perthes Disease
The aim of treatment of Perthes in the early part of the disease is to prevent the femoral head from getting deformed by muscular forces and weight-bearing stresses transmitted across…
Prognostic Factors and Outcome Measures in Perthes Disease
The shape of the femoral head at the time when Perthes disease heals is the most important determinant of the risk for degenerative arthritis; hence, the shape of the femoral…
Pathophysiology, Classifications, and Natural History of Perthes Disease
Since the original reports of Legg-Calvé-Perthes disease (LCPD), much research effort has been undertaken to improve understanding of this idiopathic hip disorder. This article focuses on the current knowledge of…
The Epidemiology and Etiology of Perthes Disease
The incidence of Perthes disease varies markedly both between countries and within countries down to a local level. The disease is more common in white than in Asian or black…
Legg-Calvé-Perthes Disease
Charles T. Price, MD, Guest Editor Benjamin Joseph, MS Orth, MCh Orth, Guest Editor A hundred years after the description of Legg-Calvé-Perthes disease, the aetiology remains elusive and a great…
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…
