Management of Perthes' disease - Paul Jairaj 16/1/2001

Author

Brotherton BJ, McKibbin B (Cardiff)

Title

Perthes Disease treated by prolonged recumbency and femoral head containment : a long term appraisal.

Reference

JBJS 59(B): 8.(Feb77)

Summary

Traction (11/12)till fragmentation stops then broomstick (15-12), NWB,good results with high grade, poor results with head at risk and late age of onset. Believe surgery bad for high grade.

Critique

Retrospective, radiological assessment, different controls

102 hips/87 pats, 10-35 yr FU

Author

Canario AT, Catterall A, Lloyd-Roberts GC (GOS/RNOH)

Title

A controlled study of the results of femoral osteotomy in severe Perthes Disease

Reference

JBJS 62(B) :438 (Nov 80)

Summary

63 Fem Ost vs 85 Cont = 50% improved vs 14%. NWB doesnt

improve results. Shortening only a prob if at capital epiphysis, beware older patient. Surgery more beneficial with higher grade.

Age at op < 6yrs= good result

Critique

Retrospective look at disease duration. Small numbers of high grade who didnt have surgery. same controls WB no diff.