Evaluation of Function after Proximal Femoral Varus Osteotomy for Perthes Disease (avascular necrosis of the proximal femoral head)
Journal Title: The Indian Practitioner - Year 2015, Vol 68, Issue 10
Abstract
Background: Among the various methods of containment, femoral osteotomy is being widely used. The results are yet to be completely understood. Material and Method: 20 Cases of Perthes disease underwent femoral osteotomy in between 2011-2014. 10 Cases which were conservatively treated were used as control. All cases were grade 2, 3, 4 (Caterall) hip with “head at risk”. Follow up done at regular intervals for an average of 2 years. Hips that were not containable and were grade 1 Caterall lesion were excluded from study. Assessment - Clinically by Harris Hip Score(HHS). Radiologically by - 1) C.E. Angel of Weiberg, 2) Moss template. 3) Epiphyseal quotient. Results: Clinically HHS was 88.74 (mean) for operative group and 69.7 (mean) for conservative group. Limb shortening on average was 1.5 cm. In the Radiologically operative group 75% had good or excellent result. In conservative group 30% had poor result. Conclusion: Containment in form of femoral osteotomy definitely offers better results than conservative group. Limb shortening that follows osteotomy was not significant until concomitant femoral capital epiphyseal arrest.
Authors and Affiliations
Dr Swagat Mahapatra, Suruchi .
Keywords
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