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Although 59% of children with Perthes' disease have a good result without treatment, poor results are common when the disease has onset in older children. Femoral osteotomy at this age will control the disease but may leave shortening and a persisting limp if there is insufficient capacity for remodeling and growth. Twenty children aged greater than 8 years with early disease were treated by lateral shelf acetabuloplasty. The results are compared with those in 14 children for whom no treatment had been advised. Lateral shelf acetabuloplasty has improved early outcome for these children as compared with untreated children for whom a poor prognosis has been confirmed.

Type

Journal article

Journal

Journal of pediatric orthopedics

Publication Date

09/1992

Volume

12

Pages

563 - 568

Addresses

Charing Cross Hospital, London, England.

Keywords

Acetabulum, Humans, Legg-Perthes Disease, Range of Motion, Articular, Prognosis, Follow-Up Studies, Child, Female, Male