Femoral Varus Osteotomy for Treatment of Legg Calve Perthes Disease in Zagazig University Hospitals

Swayeb, Emad; Khairy, Hossam; Soudy, El-Sayed; El-Kady, Reda

doi:10.21608/zumj.2019.14700.1325

Zagazig University Medical Journal

2019

DOI: 10.21608/zumj.2019.14700.1325

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Femoral Varus Osteotomy for Treatment of Legg Calve Perthes Disease in Zagazig University Hospitals

Emad Swayeb

Hossam Khairy

El-Sayed Soudy

et al.

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2023

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“…In our cases, locking plates were applied because of the advantage of the fixed-angle device, fewer hardware complications, loss of fixation, and implant-related fractures compared with blade plates (10) , avoiding pin tract infection, hip contracture, nonunion, and refracture that occurred in external fixation (11) . Regarding the Harris hip scores, the literature in 2022 mentioned Legg-Calve-Perthes disease outcomes, but no correlation between the Harris hip scores and type of fixation was reported (12) .…”

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Functional Outcomes of Varus Osteotomy with Locking Compression Plate Fixation in Legg-Calve-Perthes Disease

2023

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Purpose: Patients with Legg-Calve-Perthes disease are treated to preserve the roundness of the femoral head. Surgical treatment includes the proximal femur or acetabulum operations, however, remains controversial. Herein, we investigated the clinical findings and outcomes of varus osteotomy with locking compression plate fixation. Methods: We reviewed 19 children (20 hips) with Legg-Calve-Perthes disease who underwent varus osteotomy with locking compression plate fixation at our hospital. The time to re-ossification, Stulberg classification, and Harris hip score were recorded preoperatively and at the final follow-up. Results: We included 16 boys and two girls with unilateral hip involvement and one girl with bilateral hip disease. The mean age at the time of surgery was 7.9 years. Based on the Catterall classification, one, 10, and nine patients were classified as grades II, III, and IV, respectively. All patients were followed for 33 months. The mean time to re-ossification was 167 days. At final follow-up, based on the Stulberg classification, seven, nine, and four patients were categorized as class II, III, and IV, respectively. Based on the Harris hip score, 21.1%, 47.7%, and 31.6% of patients showed excellent, good, and fair functional outcomes, respectively. The Harris hip scores at the final follow-up were significantly improved compared to preoperative values. Following adjustment for sex and disease severity, age at disease onset and time of surgery were associated with Harris hip scores. Conclusions: Varus osteotomy with locking compression plate fixation yields good results and significantly improves functional outcomes, although patient age affects the outcomes.

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Functional Outcomes of Varus Osteotomy with Locking Compression Plate Fixation in Legg-Calve-Perthes Disease

2023

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Femoral Varus Osteotomy for Treatment of Legg Calve Perthes Disease in Zagazig University Hospitals

Cited by 1 publication

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Functional Outcomes of Varus Osteotomy with Locking Compression Plate Fixation in Legg-Calve-Perthes Disease

Functional Outcomes of Varus Osteotomy with Locking Compression Plate Fixation in Legg-Calve-Perthes Disease

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