Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up
| Autor: | Jérôme Sales de Gauzy, Franck Accadbled, Etienne Cavaignac, Jérôme Murgier, Régis Pailhé, Jean Philippe Cahuzac |
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| Přispěvatelé: | Centre Hospitalier Universitaire Grenoble Alpes - CHU Grenoble Alpes (FRANCE), Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE), Clinique universitaire de chirurgie orthopédique et de traumatologie du sport, hôpital Sud, CHU de Grenoble, avenue de Kimberley, 38130 Échirolles, France, parent, Gestes Medico-chirurgicaux Assistés par Ordinateur (TIMC-IMAG-GMCAO), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019])-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), CHU Toulouse [Toulouse] |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment [SDV]Life Sciences [q-bio] Age at diagnosis Osteoarthritis Osteotomy Pediatrics Pelvis 03 medical and health sciences 0302 clinical medicine Autre medicine Humans Legg-Calve-Perthes disease Orthopedics and Sports Medicine Prospective Studies 030212 general & internal medicine Child 030222 orthopedics Hip Legg Calve Perthes business.industry medicine.disease Survival Analysis 3. Good health Surgery Treatment Outcome medicine.anatomical_structure Child Preschool Cohort Orthopedic surgery Legg-Calve-Perthes Disease Female business Follow-Up Studies |
| Zdroj: | International Orthopaedics International Orthopaedics, Springer Verlag, 2016, 40 (1), pp.115-122. ⟨10.1007/s00264-015-2687-9⟩ |
| ISSN: | 0341-2695 1432-5195 |
| DOI: | 10.1007/s00264-015-2687-9⟩ |
| Popis: | International audience; PURPOSE:This study presents the results of a prospective consecutive cohort of patients with Legg-Calvé-Perthes disease (LCPD) operated with triple osteotomy of the pelvis (TOP) between 1989 and 2005. We attempted to determine whether the results of TOP remain stable with time and consequently lower the risk of subsequent osteoarthritis. The primary study aims were to determine the maintenance of head coverage and joint congruity, and functional outcomes of this surgery.METHODS:Forty-five patients with a mean follow-up of 15.2 years (range eight to 24) were included.RESULTS:At latest follow-up, two patients were lost to follow-up, and two required a surgical reoperation. Cumulative maintenance of head coverage and joint congruity rate for all TOP was 84.6 % (95 % CI: 82.3-90.6 %) at 15 years. Factors significantly associated with poor long-term results were the age at diagnosis and Greene index.CONCLUSION:TOP in LCPD provides satisfactory and reproducible long-term clinical results. |
| Databáze: | OpenAIRE |
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