Legg-Calvé-Perthes Disease: Treatment and Prognosis

Autor: Griffin, Paul P., Green, Neil E., Beauchamp, Richard D.
Zdroj: Orthopedic Clinics of North America (ScienceDirect); January 1980, Vol. 11 Issue: 1 p127-139, 13p
Abstrakt: Our experience in the treatment of Legg-Perthes disease using non-containment, containment, and surgical treatment supports the concept that containment is a key factor in the treatment of Legg-Perthes disease. Patients without excessive lateral extrusion or other signs of “head at risk” and half or more of the femoral head involved probably can be treated for short periods of time in an abduction orthosis. If less than half the femoral head is involved but lateral extrusion is minimal, a period of traction to obtain range of motion and decrease the synovitis may be sufficient treatment. In the more severely involved heads that show the poor prognostic signs of excessive lateral extrusion, bed rest in addition to abduction may statistically offer the best chances for a good result.
Databáze: Supplemental Index