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Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up.

Pailhé, Régis and Cavaignac, Étienne and Murgier, Jérôme and Cahuzac, Jean-Philippe and Sales de Gauzy, Jérôme and Accadbled, Franck Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up. (2016) International Orthopaedics, 40 (1). 115-122. ISSN 0341-2695

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Official URL: http://dx.doi.org/10.1007/s00264-015-2687-9

Abstract

PURPOSE: This study presents the results of a prospective consecutive cohort of patients with Legg-Calvé-Perthes disease (LCPD) operated with triple osteotomy of the pelvis (TOP) between 1989 and 2005. We attempted to determine whether the results of TOP remain stable with time and consequently lower the risk of subsequent osteoarthritis. The primary study aims were to determine the maintenance of head coverage and joint congruity, and functional outcomes of this surgery. METHODS: Forty-five patients with a mean follow-up of 15.2 years (range eight to 24) were included. RESULTS: At latest follow-up, two patients were lost to follow-up, and two required a surgical reoperation. Cumulative maintenance of head coverage and joint congruity rate for all TOP was 84.6 % (95 % CI: 82.3-90.6 %) at 15 years. Factors significantly associated with poor long-term results were the age at diagnosis and Greene index. CONCLUSION: TOP in LCPD provides satisfactory and reproducible long-term clinical results.

Item Type:Article
Additional Information:Thanks to Springer editor. The definitive version is available at https://link.springer.com/ The original PDF of the article can be found at https://link.springer.com/article/10.1007/s00264-015-2687-9
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Centre Hospitalier Universitaire Grenoble Alpes - CHU Grenoble Alpes (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
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Deposited By: Pascal SWIDER
Deposited On:26 Oct 2017 09:11

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