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Journal of Children's Orthopaedics
Published in: Journal of Children's Orthopaedics 5/2008

01-10-2008 | Original Clinical Article

Varus-producing osteotomy for patients with lateral pillar type B and C Legg-Calvé-Perthes disease followed to skeletal maturity

Authors: Pablo Castañeda, Richard Haynes, Jorge Mijares, Héctor Quevedo, Nelson Cassis

Published in: Journal of Children's Orthopaedics | Issue 5/2008

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Abstract

Purpose

We sought to determine if a varus-producing osteotomy of the proximal femur was related to a better outcome than non-operative treatment for LCP disease.

Methods

This was a retrospective review of 121 patients; clinical outcome was determined with the Iowa Hip Score, and radiographic outcome was determined with the Stulberg classification.

Results

A total of 73 patients undergoing a VO and 48 treated non-operatively were included; 70 had lateral pillar type B and 51 type C hips. Average follow-up was 12.03 years. The mean Iowa Hip Score was 86.8 for the VO group and 85.9 for the non-operative group. According to the Stulberg classification for the group undergoing a VO, there were 8 type II, 33 type III, and 32 type III, and for the group undergoing non-operative treatment there were 11 type II, 24 type III, and 13 type IV.

Conclusions

We found no statistically significant difference in the clinical or radiographic result for patients undergoing a VO compared to non-operative treatment.
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Metadata
Title
Varus-producing osteotomy for patients with lateral pillar type B and C Legg-Calvé-Perthes disease followed to skeletal maturity
Authors
Pablo Castañeda
Richard Haynes
Jorge Mijares
Héctor Quevedo
Nelson Cassis
Publication date
01-10-2008
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 5/2008
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-008-0125-x

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