Optimal timing for containment surgery for Perthes disease

Benjamin Joseph, N. Sreekumaran Nair, K. L. Narasimha Rao, Kishore Mulpuri, George Varghese

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

To identify the optimal timing for containment surgery for Perthes disease, the outcomes following femoral osteotomy of 97 children were analyzed. Univariate and multivariate analyses were employed to identify variables that influenced the shape and size of the femoral head at healing. The timing of surgery was an important variable that had a bearing on the outcome. The chances of retaining a spherical femoral head were much higher in children operated on either during the stage of avascular necrosis or in the early part of the fragmentation stage than in those operated later. The authors conclude that containment surgery aimed at preventing femoral head deformation in Perthes disease should be performed before the advanced stage of fragmentation. Further, any study on the outcome of containment treatment of Perthes disease must consider the timing of containment as a variable that influences the outcome while interpreting the results.

Original languageEnglish
Pages (from-to)601-606
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume23
Issue number5
DOIs
Publication statusPublished - 01-01-2003
Externally publishedYes

Fingerprint

Legg-Calve-Perthes Disease
Thigh
Osteotomy
Necrosis
Multivariate Analysis
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

Joseph, B., Sreekumaran Nair, N., Narasimha Rao, K. L., Mulpuri, K., & Varghese, G. (2003). Optimal timing for containment surgery for Perthes disease. Journal of Pediatric Orthopaedics, 23(5), 601-606. https://doi.org/10.1097/01241398-200309000-00006
Joseph, Benjamin ; Sreekumaran Nair, N. ; Narasimha Rao, K. L. ; Mulpuri, Kishore ; Varghese, George. / Optimal timing for containment surgery for Perthes disease. In: Journal of Pediatric Orthopaedics. 2003 ; Vol. 23, No. 5. pp. 601-606.
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Joseph, B, Sreekumaran Nair, N, Narasimha Rao, KL, Mulpuri, K & Varghese, G 2003, 'Optimal timing for containment surgery for Perthes disease', Journal of Pediatric Orthopaedics, vol. 23, no. 5, pp. 601-606. https://doi.org/10.1097/01241398-200309000-00006

Optimal timing for containment surgery for Perthes disease. / Joseph, Benjamin; Sreekumaran Nair, N.; Narasimha Rao, K. L.; Mulpuri, Kishore; Varghese, George.

In: Journal of Pediatric Orthopaedics, Vol. 23, No. 5, 01.01.2003, p. 601-606.

Research output: Contribution to journalArticle

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Joseph B, Sreekumaran Nair N, Narasimha Rao KL, Mulpuri K, Varghese G. Optimal timing for containment surgery for Perthes disease. Journal of Pediatric Orthopaedics. 2003 Jan 1;23(5):601-606. https://doi.org/10.1097/01241398-200309000-00006