Perthes disease evaluation and management

Shah, Hitesh (2014) Perthes disease evaluation and management. Orthopaedics Clinics of North America, 45. pp. 87-97. ISSN 0030-5898

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Perthes disease refers to self-limiting idiopathic avascular necrosis of capital femoral epiphysis in a child. There is no consensus for the optimum treatment of the Perthes disease even after a hundred years following the first description. The prime aim of the treatment is to maintain the sphericity of the femoral head and the congruency of the femur-acetabulum relationship to prevent secondary degenerative arthritis. Early diagnosis and management can help collapse of femoral head, progressive femoral head deformity and impingement. Younger children(less than 8 years of onset) without extrusion can be treated conservatively. Surgical containment is indicated in older children in the early stage of the disease to achieve this goal. The prime goal of the late presenter after stage of the advanced fragmentation is to minimize the extent of deformation of the femoral head. Modern methods of femoral head recontouring and reshaping provide early satisfactory result in aspherical and non-congruent hips. In future, pharmacological or biological treatment options may help speed up the healing process.

Item Type: Article
Uncontrolled Keywords: Perthes disease; Iliac osteotomy; Femoral osteotomy; Containment; Congruent hip.
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Manipal
Date Deposited: 29 Nov 2013 04:41
Last Modified: 29 Nov 2013 04:41

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