Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up.

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.