Reconstructive Restorative Surgical Interventions in Complex Treatment of Children with Legg-Calve-Perthes Disease

Abstract

For optimization of anatomic and functional treatment results pre- and postoperative roentgenologic data were analyzed for 120 patients aged from 6 to 14 years with Legg-Calve-Perthes disease accompanied by severe affection of epiphysis. Mean follow up period after reconstructive (remodeling) surgical interventions, i.e. corrective osteotomy of the femur, pelvic osteotomy by Salter, combinations of those 2 techniques, triple pelvic osteotomy made up 10 years. It was shown that remodeling of femoral head was possible only when the degree of bone coverage was equal or exceeded 1. If that parameter was below 1 the conditions for deformity progression developed. Roentgenologic variants of the affected joint anatomic structure that enabled to define concretely the indications to a certain type of femoral head surgical remodeling were determined.