Abstract
Introduction: Legg-Calvé-Perthes disease (LCPD) is a pediatric ischemic condition of the femoral head leading to necrosis. This study evaluates the hip shelf procedure's effectiveness in treating LCPD and the resulting clinical outcomes. Methods: A retrospective analysis of 17 patients treated with the hip shelf procedure at the Pediatric Orthopedics and Traumatology Department of CHU Hassan II, Fes, over ten years. Data on patient demographics, clinical presentations, radiological assessments, and surgical outcomes were analyzed. Results: The average age at consultation was 9 years, with a male predominance (88.2%). Radiological staging showed most patients in the fragmentation or reconstruction stages. Post-operative results indicated significant improvement in hip joint stability and remodeling. Conclusion: The hip shelf procedure is effective in managing LCPD, promoting favorable hip joint remodeling and function in pediatric patients. Early intervention is crucial for optimal outcomes.
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