TY - JOUR
T1 - Treatment of the Symptomatic Healed Perthes Hip
AU - Novais, Eduardo N.
AU - Clohisy, John
AU - Siebenrock, Klaus
AU - Podeszwa, David
AU - Sucato, Daniel
AU - Kim, Young Jo
PY - 2011/7
Y1 - 2011/7
N2 - Healed Legg-Calvé-Perthes disease may cause both intra-articular and extra-articular impingement, resulting in a symptomatic hip prior to the onset of osteoarthritis. Various impingement-relieving surgeries have been used in the past; however, the development of the safe surgical dislocation technique has allowed a better understanding of complex deformity that may be present in these hips and hence may improve treatment of these symptomatic prearthritic hips. This article outlines the range of deformities possible in a Perthes hip, and treatment strategies to surgically address these deformities. For Perthes disease good preoperative clinical and radiographic assessment is essential, and intraoperative assessment vital.
AB - Healed Legg-Calvé-Perthes disease may cause both intra-articular and extra-articular impingement, resulting in a symptomatic hip prior to the onset of osteoarthritis. Various impingement-relieving surgeries have been used in the past; however, the development of the safe surgical dislocation technique has allowed a better understanding of complex deformity that may be present in these hips and hence may improve treatment of these symptomatic prearthritic hips. This article outlines the range of deformities possible in a Perthes hip, and treatment strategies to surgically address these deformities. For Perthes disease good preoperative clinical and radiographic assessment is essential, and intraoperative assessment vital.
KW - Hip arthritis
KW - Legg-Calvé-Perthes disease
KW - Periacetabular osteotomy
KW - Surgical hip dislocation
UR - http://www.scopus.com/inward/record.url?scp=79960149674&partnerID=8YFLogxK
U2 - 10.1016/j.ocl.2011.05.003
DO - 10.1016/j.ocl.2011.05.003
M3 - Review article
C2 - 21742152
AN - SCOPUS:79960149674
SN - 0030-5898
VL - 42
SP - 401
EP - 417
JO - Orthopedic Clinics of North America
JF - Orthopedic Clinics of North America
IS - 3
ER -