Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes-disease—a long term follow-up

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• 作者：G.A.B.M. Pécasse ; H. Eijer ; D. Haverkamp and R.K. Marti
• 刊名：International Orthopaedics
• 出版年：2004
• 出版时间：February 2004
• 年：2004
• 卷：28
• 期：1
• 页码：44-47
• 全文大小：108 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-5195

文摘

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.