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ISSN 2063-5346
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ARTHRODIASTASIS VERSUS SALTER OSTEOTOMY IN TREATMENT OF LEGG- CALVÉ-PERTHES DISEASE: SHORT TERM RESULTS

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Ahmed Abdelfattah Romeih*, Bassam Abouelnas, Mazen Abulsaad, Barakat Sayed El-Alfy
» doi: 10.48047/ecb/2023.12.5.232

Abstract

Background: To this day, no consensus exists regarding the most effective therapy during the active phase of Perthes’ disease, and no therapy has statistically substantially improved the course of Perthes' disease compared to other therapies. Objective: This combined retrospective prospective study aimed to compare the clinical and radiological results of salter innominate osteotomy as a containment therapy versus arthro-diastasis as a mean of joint mechanical protection in patients with Legg-Calve-Perthes (LCP) in aspects of controlling the outcome of the disease progression. Patients and methods: A total of 29 patients (31 hips), six-year or older of both genders with LCP disease in the stages of necrosis or revascularization, were enrolled. Patients were submitted to either Salter innominate osteotomy (SO) (n=16) or hip arthrodistraction (HA) (n=15). At the final follow-up, patients were evaluated both clinically according to Harris hip score and radiologically according to Caput Index and Epiphyseal quotient

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