Review Article
Volume 11 Issue 3 - 2020
Current Concepts in Proximal Femoral Osteotomy for Treatment of Perthes Disease
Khaled M Emara1, Ramy Ahmed Diab1*, Mostafa Gemeah2 and Ahmed K Emara3
1Department of Orthopaedic Surgery, Ain Shams University Hospitals, Cairo, Egypt
2Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA
*Corresponding Author: Ramy Ahmed Diab, Assistant Professor, Department of Orthopaedic Surgery, Ain Shams University Hospitals, Cairo, Egypt.
Received: December 30, 2019; Published: February 11, 2020




Abstract

Legg Calve Perthes Disease (LCPD) is a common pediatric hip disorder, in which there is avascular necrosis of the femoral head.

Conservative treatment is better in younger children with an early presentation, while Surgical interventions produced better outcomes for older children with late presentation Perthes.

Different surgical options exist, mostly aiming at containing the femoral head in the acetabulum until remodeling occur. In this paper we review different types of proximal femoral osteotomies in Perthes including femoral varus osteotomy, femoral valgus osteotomy and transtrochanteric rotational osteotomy.

Femoral Varus osteotomy still remains the main surgical option that was the most commonly used and reported in literature.

Keywords: Perthes; Femoral Osteotomy; Femoral Varus Ostetotomy; Femoral Valgus Osteotomy; Transtrochanteric Rotational Osteotomy

References

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  19. Nakashima Y., et al. “Transtrochanteric rotational osteotomy for late-onset Legg-Calve-Perthes disease”. Journal of Pediatric Orthopaedics (2011). 
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  21. Beer Y., et al. “Long-Term Results of Proximal Femoral Osteotomy in Legg-Calvé-Perthes Disease”. Journal of Pediatric Orthopaedics 28 (2008): 819-824.
  22. Lee DY., et al. “Changes of blood flow of the femoral head after subtrochanteric osteotomy in Legg-Perthes’ disease: a serial scintigraphic study”. Journal of Pediatric Orthopaedics 12 (1992): 731-734.
Citation: Ramy Ahmed Diab., et al. “Current Concepts in Proximal Femoral Osteotomy for Treatment of Perthes Disease”. EC Orthopaedics 11.3 (2020): 01-06.

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