Сorrective femoral osteotomy in the complex treatment of children with Legg-Calve-Perthes disease

Abstract

Objective Improve outcomes of complex treatment of children with Legg-Calve-Perthes disease. Material and methods Pre- and postoperative assessment of 90 patients with Legg-Calve-Perthes disease and severe epiphyseal involvement was reviewed. The age of the patients ranged from 6 years to 14 years. Corrective femoral osteotomy was performed for the patients who were followed up for 10 years. The patients were subdivided into two groups depending on the extent of bone coverage (EBC) of the femoral head straight after the surgery: group I (n = 60), EBC ≥ 1.0; group II (n = 30), EBC less 1.0. Results Regardless of the type of corrective femoral osteotomy group I showed positive clinical and radiological dynamics, and improved capital improvement, in particular; group II (archive material, cases who underwent surgery until 1998) demonstrated negative dynamics with considerably deformed femoral head. Conclusion Corrective femoral osteotomy remains the procedure of choice for patients with LCP disease, and femoral head remodeling can be provided with the extent of bone coverage index measuring one and over.