Future Biologic Treatments for Perthes Disease

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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…

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Review of Total Hip Resurfacing and Total Hip Arthroplasty in Young Patients Who Had Legg-Calvé-Perthes Disease

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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,…

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Treatment of the Symptomatic Healed Perthes Hip

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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;…

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Treatment of Coxa Brevis

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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…

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Future Biologic Treatments for Perthes Disease

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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…

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Shelf and/or Reduction and Containment Surgery

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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…

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Articulated Distraction

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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…

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Valgus Osteotomy for Hinge Abduction

Feb 23, 2017 by in ORTHOPEDIC Comments Off on 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…

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