Biomaterial Database

Femoral varus osteotomy in Legg-Calvé-Perthes disease: points at operation to prevent residual problems. 1999

T Kitakoji, and T Hattori, and H Iwata

Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.

We analyzed at skeletal maturity the radiographic results of 46 patients with unilateral Legg-Calvé-Perthes disease (LCPD) who were treated with femoral varus osteotomy (FVO) with special attention to proximal femoral growth. In 30 patients, leg-length discrepancy (LLD) and alignment change in the leg also were examined. The postoperative femoral neck shaft angle (FNSA) was not related to the result on Stulberg's criteria, but the postoperative acetabulum head index (AHI) was. Trochanteric prominence remained on the affected side in spite of an improvement in FNSA. LLD did not depend chiefly on FVO itself. The alignment of the leg on the affected side showed a tendency to valgus, which occurred to correct the mechanical axis displaced medially by the FVO. Along with an FVO for LCPD, some additional operative technique should be performed to prevent trochanteric prominence and medial displacement of the distal fragment to prevent genu valgum.

UI	MeSH Term	Description	Entries
D007873	Legg-Calve-Perthes Disease	A particular type of FEMUR HEAD NECROSIS occurring in children, mainly male, with a course of four years or so.	Coxa Plana,Legg-Perthes Disease,Perthes Disease,Legg-Calve-Perthes Syndrome,Legg-Calvé-Perthes Disease,Legg-Calvé-Perthes Syndrome,Osteochondritis Deformans,Disease, Legg-Calve-Perthes,Disease, Legg-Calvé-Perthes,Disease, Legg-Perthes,Disease, Perthes,Legg Calve Perthes Disease,Legg Calve Perthes Syndrome,Legg Calvé Perthes Disease,Legg Calvé Perthes Syndrome,Legg Perthes Disease,Osteochondritis Deforman,Syndrome, Legg-Calve-Perthes,Syndrome, Legg-Calvé-Perthes
D008297	Male		Males
D010027	Osteotomy	The surgical cutting of a bone. (Dorland, 28th ed)	Osteotomies
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D005260	Female		Females
D005269	Femur	The longest and largest bone of the skeleton, it is situated between the hip and the knee.	Trochanter,Greater Trochanter,Lesser Trochanter,Femurs,Greater Trochanters,Lesser Trochanters,Trochanter, Greater,Trochanter, Lesser,Trochanters,Trochanters, Greater,Trochanters, Lesser
D006621	Hip Joint	The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.	Acetabulofemoral Joint,Acetabulofemoral Joints,Hip Joints,Joint, Acetabulofemoral,Joint, Hip,Joints, Acetabulofemoral,Joints, Hip
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths