Format

Send to

Choose Destination
See comment in PubMed Commons below
Hip Int. 2013 Nov-Dec;23 Suppl 9:S61-70. doi: 10.5301/hipint.5000071. Epub 2013 Jun 29.

A systematic approach to analyse the sequelae of LCPD.

Author information

  • 11 Department of Orthopaedic Surgery, Inselspital, University of Bern, Bern - Switzerland.

Abstract

The analysis and treatment of hips with healed Legg-Calvé-Perthes disease (LCPD) differs substantially from the treatment in the acute phase of the disease. More specifically, the treating orthopaedic surgeon is often faced with a complex three-dimensional pathomorphology of the hip that is difficult to understand and correct. To date, none of the current classification systems provide a useful decision-making algorithm with regards to the type of surgical intervention necessary to improve hip function in patients with sequelae of LCPD. The conceptual recognition of the femoroacetabular impingement (FAI) and the ability to safely dislocate the hip have revolutionised our diagnostic and therapeutic algorithm for joint-preserving surgery of hips with structural residuals of LCPD. We present a systematic approach to analyse femoral and acetabular pathomorphologic features. The resulting pathomechanisms and the surgical treatment options are presented.

PMID:
23873509
DOI:
10.5301/hipint.5000071
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wichtig Publishing
    Loading ...
    Support Center