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Intertrochanteric osteotomy in young adults for sequelae of Legg-Calv茅-Perthes鈥?disease鈥攁 long term follow-up

Author:
G.A.B.M. Pécasse   H. Eijer   D. Haverkamp and R.K. Marti  


Journal:
International Orthopaedics


Issue Date:
2004


Abstract(summary):

Between 1974 and 1999 we performed 15 intertrochanteric osteotomies in 14 patients with a painful hip secondary to Legg-Calvé-Perthes disease. In seven patients, the osteotomy was combined with advancement of the greater trochanter, acetabular roof plasty, or both. One patient died 5 years after the osteotomy and one patient was lost to follow-up. One patient had a revision osteotomy 21 years after the initial osteotomy, and five patients had a prosthetic replacement 8–25 years after the osteotomy. The average follow-up of the remaining osteotomies was 11.3 years. An intertrochanteric osteotomy can decrease pain and improve clinical function medium and long term without radiological progression of joint degeneration.


Page:
44-47


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