Treatment of the Symptomatic Healed Perthes Hip

Eduardo N. Novais, John Clohisy, Klaus Siebenrock, David Podeszwa, Daniel Sucato, Young Jo Kim

Research output: Contribution to journalReview article

23 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)401-417
Number of pages17
JournalOrthopedic Clinics of North America
Volume42
Issue number3
DOIs
StatePublished - Jul 1 2011

Keywords

  • Hip arthritis
  • Legg-Calvé-Perthes disease
  • Periacetabular osteotomy
  • Surgical hip dislocation

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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