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Ortop Travmatol Protez. 1991 Jan;(1):30-1.

[Experience with the surgical treatment of Perthes' disease].

[Article in Russian]


In the article are analyzed the results of treatment of 16 children with Perthes disease. There is given clinico-roentgenologic substantiation of surgical treatment. The authors concluded that the surgical methods of treatment of children with Perthes disease of the II-III degree are the principal ones. The developed procedure of surgical intervention integrates the methods of intervention which were earlier applied by many authors and includes: correcting intertrochanteric detortion-variative osteotomies of femur, tunneling and biostimulation of neck and epiphysis of femoral head by allogenic osseous matrix and cortical transplants, by administration of chemotrypsin into epiphysis, decompression of hip joint with subsequent restorative-conservative treatment. Complex treatment allows 2-3-fold reduction of the terms of treatment of patients with good anatomic and functional results, prevents development of secondary hip joint deformations.

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