Abstract
Perthes’ disease is an idiopathic avascular necrosis of the proximal femoral epiphysis in children. Plain radiograph is the main diagnosis tool and is also used to classify the phase and the extent of the disease. Although it is a self-limited condition and its natural history is often benign, there are several factors that can worsen prognosis. Those factors are age, extent of the disease and some radiological signs and are useful to identify patients who will benefit the most from treatment. Adequate containment of the femoral head within the acetabulum resulting in a more spherical and congruous joint is the main goal of treatment, which is based mainly on surgical techniques, such as femoral or acetabular osteotomies. It has been shown that orthopaedic containment methods, like abduction orthosis, have not achieved better results.
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Schedule a callMore From: Revista española de cirugía ortopédica y traumatología (English edition)
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