Mohammed Elmarghany, Tarek M Abdelghaffar, Ahmed Elgeushy, Yehia Hasanin, Ehab Elzahed, Mohamed Nasr Akl, Ahmed M Khairy, Mohamed I Abulsoud, Mohamed Adel, Jorge Knorr
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引用次数: 0
Abstract
Objective: Our ideal objective was to assess clinically and radiologically the efficacity of shelf osteotomy in early LCPD with epiphyseal extrusion without hinge-abduction and/or severe stages.
Patients and methods: A prospective case study conducted at Al-Hussein Hospital, Cairo, Egypt on 20 children with unilateral LCPD, were treated with shelf acetabuloplasty. 14 boys and six girls shared , with 20 hips involved (11 right hip and 9 left hip).
Results: The mean follow-up was 4.9 years (3-6 years). No cases complained of disability or activity limitation. ROM has greatly improved. Internal rotation improved from an average of 15° to 35.9°. Radiographic non union of the shelf was achieved in zero case.
Conclusion: Shelf acetabuloplasty in early extruded femoral head and before extrusion improves and restores pain-free hip movements and improves sphericity of the femoral head and in turn stulberg functional outcome in children with perthes disease.
期刊介绍：
Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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