Outcome Subtrochanteric Varus Osteotomy for Treatment of Perthes Disease in Short Period

Abstract

Background:  Legg – Calve – Perthes disease (LCPD) is described as idiopathic osteonecrosis of the femoral head leading to varying complications resulting in deformation of the femoral head and subsequently osteoarthritis ⁽¹⁾. Unlike normal, nutritious bone, in cases of LCPD, the bone of the avascular epiphysis cannot resist the pressures on the femoral head epiphysis.^(2.3)   

Objectives: This study is designed to assess the outcome of subtrochanteric varus osteotomy for the treatment of Perthes disease.. 

Patients & Methods: This research is a cohort study conducted during the period from April 2017 to April 2019 at the Misurata Medical Center Outpatient Clinic of Orthopedic Surgery. Criteria for inclusion: Patients ' mean age was 8 years (range: 5–11 years).,

Results: This research as well as other research that proximal varus osteotomy is a reliable procedure in patients without advanced degeneration or flattening of the femoral head and in patients with good abduction and internal rotation, particularly when they are between 5 and 11 years old.. The findings are unsatisfactory for older patients as well as those with intensive femoral head deformation.

Conclusions: Varus subtrochanteric Osteotomy is an excellent method of treating Legg Calve Perthes disease patients. This surgery resulted in reduced pain, limping, and increased movement variety.