The effect of the therapeutic approach on the course of Perthes' disease and its outcome: Conservative vs. surgical treatment
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2004, Vol 6, Issue 6
Abstract
Background. The aim of our study was to compare the outcome of Perthes' disease in children treated conservatively or surgically, and to attempt to answer the question as to whether surgery shortens the duration of the disease and its treatment. Material and methods. We reviewed the clinical records of 61 children with Perthes disease (68 hips) from the years 1990-1994 were reviewed. There were 11 girls and 50 boys, the mean age at the onset of the disease was 5.3 years (range from 1.6 to 12.7), and the mean follow-up was 7.8 years (from 4.2 to 10.3). 36 hips underwent surgery (Dega transiliac osteotomy combined with an interrtrochanteric osteotomy of the femur). The remaining 32 hips were treated conservatively with various methods. The Catterall and Herring classification schemes were applied for the radiological assessment of the involvement of the femoral head, and the outcomes were evaluated using Stulberg's classification.Results and Conclusions. The mean time from the onset of the disease to full weight bearing was 20 months (range from 5 to 56) in the operated hips, and 20 months (range from 5 to 51) in the non-operated hips. There was no statistically significant correlation between the end results of the conservative and operative treatment for each group assessed according to the Catterall or Herring classification schemes. However, it should be borne in mind that the operated hips were initially classified as more involved than the non-operated ones.
Authors and Affiliations
Szymon Pietrzak, Marek Napiontek, Sulaiman Kraiz
Keywords
Related Articles
- EP ID EP56323
- DOI -
- Views 54
- Downloads 0
Choice of Optimal Time and Type of Orthopedic Surgery in Multiple Injured Patients with Acute Respiratory Distress Syndrome (ARDS) Depending on Age: Retrospective Study
Background. Multiple traumatic injuries are severe conditions with a high risk of complications. Hemorrhage, multiple organ failure syndrome (MOFS), systemic inflammatory response syndrome (SIRS) and sepsis are the most...
The Effect of Comprehensive Musculoskeletal Rehabilitation on Clinical Status of Ankylosing Spondylitis Patients
[b]Background.[/b] This study aimed to compare the effectiveness of conventional and cryotherapy-based rehabilitation with respect to its impact on selected clinical parameters in AS patients.[b]Material and methods.[/b]...
Historia leczenia skolioz w Małopolsce
W pracy omówiono historię leczenia skolioz idiopatycznych w Małopolsce. Leczenie operacyjne rozpoczęto w okresie międzywojennym, a zapoczątkował je docent Juliusz Zaremba, późniejszy pierwszy Kierownik Kliniki Ortopedii...
Skuteczność uzdrowiskowego leczenia choroby zwyrodnieniowej stawów. Przegląd piśmiennictwa.
Na podstawie przeglądu aktualnego piśmiennictwa przedstawiono w pracy obecny stan wiedzy na temat skuteczności uzdrowiskowego leczenia choroby zwyrodnieniowej stawów. Prezentowane prace przeanalizowano pod względem ich r...
Impact of overweight on the durability of Weller prostheses
Background. The goal of our research was to assess overweight as a risk factor for reduced survivability of Weller-type artificial cement hip joints.Material and methods. We studied 71 patients (26 men, 45 women) diagnos...