Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review

Caldaci, Alessia; Testa, Gianluca; Dell’Agli, Eleonora; Sapienza, Marco; Vescio, Andrea; Lucenti, Ludovico; Pavone, Vito

doi:10.3390/children9081121

Cited by 6 publications

(4 citation statements)

References 51 publications

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“…At present, there is not other relevant literature to report the cut off value of ATD requires surgical treatment. It is generally believed that the effect of trochanter arrest surgery before 6-8 years old is better than that after 8 years old [15][16][17] , which is similar to the results of k − male and k − female proposed by us. K represents the growth rate of the greater trochanter at all ages.…”

Section: Discussionsupporting

confidence: 82%

Hip joint articulator-to-trochanteric distance measurements in children: which in children aged 5 to 14 years does not grow with age.

Yang,

Ouyang,

Wang

2023

Preprint

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Background For pediatric orthopedists, the articulator-to-trochanteric distance (ATD) can be used in many diseases such as Legg-Calve-Perthes disease (LCPD), Developmental dysplaisa of the hips (DDH), Slipped capital femoral epiphysis (SCFE), Pathological dislocation of the hips. The purpose of this study is to determine whether age affects the ATD values recorded in hip orthographic radiographs of children under the age of 14. The second aim is to study the growth rate of greater trochanter. Methods We retrospectively radiological results of 1787 cases of hip joint radiographs. The ATD, trochanter-to-trochanter distance (TTD), lesser trochanter-to-articular surface distance (LTA), capital femoral epiphysis-to- lesser trochanter distance (CLD) were measured. Grouping was performed according to gender and age. independent sample t-test, one-Way ANOVA were used. Results A total of 1787 cases of hip joints from six month to 14 years old were reviewed. The overall mean ATD of males aged 5 to 14 were 23.51 mm (p > 0.05), and that of females was 21.40 mm (p > 0.05), 95% confidence interval for male is (14.96, 31.60) mm, for female it is (13.99, 30.40) mm. k(TTD/AGE) was no statistical significance in k− male among men aged 8–14 (p > 0.05) and k− female among women aged 6–14 (p > 0.05). Conclusions Our data showed that the ATD value of children aged 5 to 14 years old was different between men and women in hip orthographic radiographs, but there was no difference between different ages. And the greater trochanter grows faster before the age of 8 for men and 6 for women.

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Section: Discussionsupporting

confidence: 82%

Hip joint articulator-to-trochanteric distance measurements in children: which in children aged 5 to 14 years does not grow with age.

Yang,

Ouyang,

Wang

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…At present, it is generally believed that the effect of trochanter arrest surgery before 6-8 years old is better than that after 8 years old [15][16][17] , which is similar to the results of k − male and k − female proposed by us. K represents the growth rate of the greater trochanter at all ages.…”

Section: Discussionsupporting

confidence: 82%

Hip joint articulotrochanteric distance measurements in children: articulotrochanteric distance in children aged 5 to 14 years does not grow with age

Yang,

Ouyang,

Wang

2024

Preprint

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Background For pediatric orthopedists, previous studies have used the articulotrochanteric distance (ATD) to determine the growth of the greater trochanter in many diseases such as Legg-Calve-Perthes disease (LCPD), Developmental dysplaisa of the hips (DDH), Slipped capital femoral epiphysis (SCFE), dislocation of the hips. The first objective of this study is to determine whether age affects the ATD recorded in hip orthographic radiographs of children under the age of 14. The second objective is to study the growth rate of greater trochanter. Methods We reviewed radiological results of 1787 cases of hip joint radiographs. The ATD, trochanter-to-trochanter distance (TTD), lesser trochanter-to-articular surface distance (LTA), femoral head epiphyseal plate-to-lesser trochanter distance (ELD) were measured. Group was performed according to gender and age. Independent sample t-test, one-Way ANOVA were used. Results A total of 1787 cases of hip joints from six months to 14 years old were reviewed. The overall mean ATD of male aged 5 to 14 were 23.51 mm (p > 0.05), and that of female was 21.40 mm (p > 0.05), 95% confidence interval for male was (14.96, 31.60) mm, for female it was (13.99, 30.40) mm. TTD, LTA, TTD/ELD and TTD/LTA were increased with age. k (TTD/AGE) was decreased with age and no statistical significance in k− male among male aged 8–14 (p > 0.05) and k− female among female aged 6–14 (p > 0.05). Conclusions Our data showed that the ATD of children aged 5 to 14 years old was different between male and female in hip orthographic radiographs, but there was no difference between different ages. And the greater trochanter grows faster before the age of 8 for male and 6 for female.

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“…Previous studies have shown the severity of initial disease is a main factor affecting the prognosis of patients with LCPD 25 . The lateral pillar classi cation usually predicts the severity of the radiographic outcome 24,[26][27][28] .…”

Section: Discussionmentioning

confidence: 99%

Legg-Calve´-Perthes disease - diagnostic value of acetabular-femoral head match index

Zhao,

Fan,

Guan

et al. 2024

Preprint

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Early treatment of Legg-Calve´-Perthes disease (LCPD)can improve hip joint activity and life management in adulthood. However, the current classification of LCPD is based on imaging findings in the fragmented stage of the disease, which is prone to delay treatment. Therefore the aim of this study is to evaluate the potential risk factors associated with poor radiological outcomes of LCPD, and to develop a new index for hip consistency evaluation, which can be used to speculate radiographic outcomes at the time of the first visit. The acetabular-femoral head match index (AFMI) of each enrolled subject was measured in standard anterior-posterior radiograph images. In the study of patients presenting during necrosis and fragmentation stage, a significant correlation was established between AFMI and modified Stulberg classification (P<0.05). The results of binary logistic regression analyses showed that Herring classification of fragmentation stage and AFMI were the main risk factors for flat hips. Thus, we provide evidence suggesting that AFMI has a potential role in predicting patients who do not respond well to conservative treatment. Although prospective multicenter studies are needed, these results provide useful clinical clues for the early treatment of LCPD.

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Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review

Cited by 6 publications

References 51 publications

Hip joint articulator-to-trochanteric distance measurements in children: which in children aged 5 to 14 years does not grow with age.

Hip joint articulator-to-trochanteric distance measurements in children: which in children aged 5 to 14 years does not grow with age.

Hip joint articulotrochanteric distance measurements in children: articulotrochanteric distance in children aged 5 to 14 years does not grow with age

Legg-Calve´-Perthes disease - diagnostic value of acetabular-femoral head match index

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