Remodelling and congruency of the hip joint in children with Perthes’ disease treated with <br /> varus-derotation subtrochanteric osteotomy

Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2004, Vol 6, Issue 6

Abstract

Background. Dislocation of the femoral head to the front and to the side during the course of Perthes’ disease is the main threat to the development of the hip. Containment of the femoral head into the acetabulum is the main goal of conservative and operative treatment. The spherical shape of the acetabulum is used as the modelling factor for the femoral head during the regeneration period, which enables the femoral head to rebuild its spherical shape. The aim of the study is to present the changes occurring within the hip joint during the course of Perthes’ disease, before and after operative treatment with varus-derotation subtrochanteric osteotomy, based on objective radiological measurements.Material and methods. 53 patients, aged from 5 to 10 years, were treated operatively. The necrosis period was assessed on radiographic examination according to Reiberg and Catterall. All patients were treated with varus-derotation subtrochanteric osteotomy, decreasing the neck-shaft angle to an average value of 111°. During the follow-up period of 6 years, a control examination was performed every 12 months. Measurements were compared with norms published in the literature. Various parameters were assessed in this study to assess the proximal end of the femur bone (neck-shaft angle, epiphyseal head index of Heyman and Herndon) and the position of the femoral head inside the acetabulum (centre-edge angle, distance angle, acetabular head index of Heyman-Herndon).Results. During the 6-year follow-up period, the value of the neck-shaft angle remained within the range of norms for the age and group, and for operated limbs the value was lower than the norm. The other assessed parameters showed substantial improvement, which led to the preservation of the correct shape of both the femoral head and acetabulum and improved the congruency of the joint.Conclusion. The value of parameters assessed post-operatively show a substantial improvement compared with preoperative measurements. Good results are obtained as a result of varus-derotation subtrochanteric osteotomy in patients with Perthes’ disease type III and IV according to Catterall, and lead to improvement in the congruency of the joint.

Authors and Affiliations

Maciej Kołban, Jadwiga Darczuk, Michał Chmielnicki

Keywords

Related Articles

A Triple Application of Kinesio Taping Supports Rehabilitation Program for Rotator Cuff Tendinopathy: a Randomized Controlled Trial

Background. Rotator cuff tendinopathy (RoCT) is a common pathology among adults. Kinesio-taping (KT) represents a possible rehabilitative treatment. The aim of the present study is to investigate the efficacy of a combin...

Objawy rzekomokorzeniowe u pacjentów z chorobą dyskową kręgosłupa lędźwiowego.

Wprowadzenie: Celem pracy jest określenie występowania zaburzeń czynnościowych narządu ruchu u pacjentów z chorobą dyskową odcinka lędźwiowego kręgosłupa. Założono, że choroba tarczy międzykręgowej w odcinku lędźwiowym k...

The wrist on the Internet

The Internet is one of the fastest developing information source, especialy in the medical-knowledge aspect. The article presents the possible choice of WWW pages concerning the pathology of the wrist.

Zastosowanie przezskórnej wertebroplastyki do leczenia chorób przebiegających z ubytkiem kości trzonów kręgów

Wstęp. W pracy przedstawiono podstawy metody przezskórnej wertebroplastyki oraz doświadczenie autorów w jej zastosowaniu do leczenia zmian patologicznych trzonów kręgów, przebiegających z ubytkiem masy kostnej.Materiał i...

Zastosowanie badania pedobarograficznego do oceny biomechaniki stopy i stawu skokowo-goleniowego u osób dorosłych - doświadczenia własne

Pedobarografia jest nieinwazyjną metodą, używaną do opisu rozkładu nacisków na podeszwowej stronie stopy podczas stania i chodu, a więc ułatwiającą ocenę biomechaniki głównie stopy i stawu skokowo-golenio-wego. Znajduje...

Download PDF file
  • EP ID EP74054
  • DOI -
  • Views 85
  • Downloads 0

How To Cite

Maciej Kołban, Jadwiga Darczuk, Michał Chmielnicki (2004). Remodelling and congruency of the hip joint in children with Perthes’ disease treated with <br /> varus-derotation subtrochanteric osteotomy. Ortopedia Traumatologia Rehabilitacja, 6(6), 697-704. https://europub.co.uk/articles/-A-74054