Document Detail


Outcome of varus derotation closed wedge osteotomy in Perthes disease.
MedLine Citation:
PMID:  19681319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study is to evaluate the clinical and radiological outcome of varus derotation osteotomy in Perthes disease. We studied 45 children with a mean age of 9.2 years, belonging to Herring's lateral pillar group B and C treated with varus derotation osteotomy. Containment was achieved in all patients on postoperative radiographs. At a mean follow-up of 6.4 years, good results were obtained in 23, fair in 20, and poor in 2 patients using Catterall's postoperative classification. Radiological evaluation was done using Mose's index and the epiphyseal quotient. Statistical analysis has concluded that better outcome was achieved in patients younger than 10 years of age as compared to those older than 10 years. Our study suggests that varus derotation osteotomy is an effective and easy surgical containment method for children with severe Perthes disease, especially who are younger than 10 years of age.
Authors:
Raghav Saini; Tarun Goyal; Mandeep Singh Dhillon; Shivinder Singh Gill; Pebam Sudesh; Aditya Mootha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  75     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-08-17     Completed Date:  2009-09-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  334-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research PGI, Chandigarh, India. raghav_pgi@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Child
Female
Humans
Legg-Perthes Disease / radiography,  surgery*
Male
Osteotomy / methods*
Prospective Studies
Treatment Outcome

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