Outcome of closed wedge varus derotation osteotomy with trochanteric apophysiodesis in perthes disease
| Autor: | EG Mohan Kumar, M Abdul Rasheed, G. M. Yathisha Kumar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Radiography Osteotomy 03 medical and health sciences Femoral head 0302 clinical medicine trochanteric apophysiodesis lcsh:Orthopedic surgery mesh: trochanter Medicine Orthopedics and Sports Medicine Femur varus derotation osteotomy 030212 general & internal medicine 030222 orthopedics Trochanter business.industry mesh: osteotomy mesh: Perthes disease outcome MeSH terms: Perthes disease Perthes disease trochanter Surgery lcsh:RD701-811 medicine.anatomical_structure Epiphysis Radiological weapon Orthopedic surgery outcome Original Article business osteotomy |
| Zdroj: | Indian Journal of Orthopaedics, Vol 52, Iss 6, Pp 616-624 (2018) Indian Journal of Orthopaedics |
| ISSN: | 1998-3727 0019-5413 |
| Popis: | Background: Perthes disease is a condition in which a self-limiting avascular event affects the capital epiphysis of the femur with a very variable course. It has been shown frequently, however, that there is a group of patients who definitely benefit from containment, either surgical or nonsurgical, better with surgical. We studied midterm to long term outcome of closed wedge varus derotation osteotomy (VDRO) with trochanteric apophysiodesis in Perthes disease. Materials and Methods:. 88 children with mean age of 7.9 ± 2 years, belonging to Herring's lateral pillar Groups B and C treated with VDRO with trochanteric apophysiodesis were included in this study. Radiological evaluation was done using Mose's index, the epiphyseal quotient, the articulotrochanteric distance and center edge angle of Wiberg. Results: Containment was achieved in all patients on postoperative radiographs. At a mean followup of 12 years, good results were obtained in 66, fair in 19, and poor in 3 patients using Catterall's postoperative classification. Conclusions: VDRO is an effective containment method of femoral head for patients belonging to the Herring's Group B and also effective in many patients belonging to Herring's Group C. It is a good procedure to attain containment in children |
| Databáze: | OpenAIRE |
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