Legg-Perthes F-Up

Legg-Perthes F-Up

Hello colleagues,

This is an abstract off a Medline search re: Legg-Perthes. Thought some of
you might be interested.

Don McGovern, CPO


Clin Orthop 1995 May;(314):225-33



An evaluation of various methods of treatment for Legg-Calve-Perthes disease.

Wang L, Bowen JR, Puniak MA, Guille JT, Glutting J
Alfred I. duPont Institute, Wilmington, DE 19899, USA.

An analysis of 5 methods of treatment for Legg-Calve-Perthes disease was done
on 124 patients with 141 affected hips. Before treatment, all groups were
statistically similar concerning initial Mose measurement, age at onset of
the disease, gender, and Catterall class. Treatments included the Scottish
Rite orthosis (41 hips), nonweight bearing and exercises (41 hips), Petrie
cast (29 hips), femoral varus osteotomy (15 hips), or Salter osteotomy (15
hips). Hips treated by the Scottish Rite orthosis had a significantly worse
Mose measurement across time interaction (repeated measures analysis of
variance, post hoc analyses, p < 0.05). For the other 4 treatment methods,
there was no statistically different change. At followup, the Mose
measurements for hips treated with the Scottish Rite orthosis were
significantly worse than those for hips treated by nonweight bearing and
exercises, Petrie cast, varus osteotomy, or Salter osteotomy (repeated
measures analysis of variance, post hoc analyses, p < 0.05). There was,
however, no significant difference in the distribution of hips according to
the Stulberg et al classification at the last followup.

PMID: 7634639, UI: 95361332