AI Article Synopsis
Article Abstract
Purpose: Legg-Calvé-Perthes disease is an idiopathic avascular necrosis of the femoral head. Although many surgical approaches to treat the late presentation of this pathology have been proposed, there are few reports about the early results of the double osteotomy procedure (femoral varus osteotomy combined with Salter innominate osteotomy). The purpose of this study was to describe the early results obtained with the double osteotomy in patients with late presentation of Legg-Calvé-Perthes disease.
Methods: Cross-sectional evaluation of ten patients intervened with double osteotomy. There were seven males and three females with a mean age of 9.2 +/- 1.7 years [standard deviation (SD)]. The average post-surgical time of evaluation was of 46.5 +/- 26.2 months.
Results: Of the ten evaluated patients, four had a Catterall III and six had a Catterall IV disease. According to Herring classification, three patients were Herring B and seven were Herring C. The epiphyseal extrusion average before and after the surgical procedure was 19.3 +/- 12.4 and 12.1 +/- 14.9%, respectively. In accordance with the Ratliff classification and Lloyd Roberts radiological results, the following were the postoperative clinical results: four good, five fair and one poor. Based on the Stulberg classification, there was one patient in class I, five in class II, three in class III and one in class IV.
Conclusion: The surgical treatment for late Perthes disease with the best expected outcome is still a challenge. According to the resultsreported here, the double osteotomy could be considered as an alternative to treat this entity.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656864 | PMC |
| http://dx.doi.org/10.1007/s11832-008-0132-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report.
Malays Orthop J
November 2024
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, India.
Free fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were addressed with a microvascular osteocutaneous fibula flap transfer with multiple osteotomies to create spitting images of metacarpals and soft tissue defects restored with the skin paddle.
View Article and Find Full Text PDFKnee osteotomy combined with meniscal allograft transplantation versus knee osteotomy alone in patients with unicompartmental knee osteoarthritis: a prospective double-blind randomised controlled trial protocol.
BMJ Open
December 2024
Clinica Ortopedica e Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Introduction: Knee osteotomy combined with meniscal allograft transplantation (MAT) showed promising results to treat unicompartmental knee osteoarthritis (OA) secondary to meniscal deficiency and knee malalignment. However, there is still no high-level evidence to demonstrate whether the combination of these two treatments is superior to osteotomy alone.
Methods And Analysis: 52 patients with unicompartmental knee OA Kellgren-Lawrence grade ≤3 secondary to meniscal deficiency and knee malalignment (aged 20-60 years) are randomised to undergo knee osteotomy associated with MAT or knee osteotomy alone in a 1:1 ratio.
Derotational Corrective Osteotomy for Pediatric Forearm Malunion: A Case Report.
Cureus
October 2024
Orthopedics and Traumatology, Tâmega e Sousa Hospital Centre, Porto, PRT.
In this case report, we describe an eight-year-old boy with both-bone forearm diaphyseal fracture that was treated conservatively after closed reduction with manipulation. Nine months after the injury, he returned to consultation, presenting a rotational deformity of the forearm and 20° of pronosupination limitation. He was submitted to corrective osteotomies, using three-dimensional (3D) planning and templating, using a double approach, and fixation with a four screw holes plate in each osteotomy.
View Article and Find Full Text PDFRevision Surgery for Scar Contracture and Web Creep after Syndactyly Release.
J Hand Surg Asian Pac Vol
December 2024
Orthopaedic Surgery, Fayoum University, Egypt.
Revision surgery after syndactyly separation is challenging. Web creep and scarring have a great impact on function and appearance of the hand. There is a paucity of literature on revision surgery for syndactyly.
View Article and Find Full Text PDFRepair of Inferior Alveolar Nerve in Orthognathic Surgery Simulator (RIANOS): A Novel, Open-Source, Combined 3D Printed, and Ex-Vivo Chicken Sciatic Nerve Training Model.
Craniomaxillofac Trauma Reconstr
March 2024
Department of Surgical Oncology and Maxillofacial Surgery, Surgery Division, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Study Design: Face and content validation of a surgical simulation model.
Objective: Accidental transection of the inferior alveolar nerve (IAN) during bilateral sagittal split osteotomies (BSSO) has a reported incidence of up to 7%, determining important sensory disturbances in patients. Proper repair demands the need of microsurgical anastomosis skills.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!