Liao Ning,Li Ming,Liu Xing,et al.Efficacy analysis of triple pelvic osteotomy for LeggCalvePerthes disease.[J].Journal of Clinical Pediatric Surgery,,17():263-268.
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Efficacy analysis of triple pelvic osteotomy for LeggCalvePerthes disease.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 04 Page: 263-268 Column: 论著 Date of publication: 2018-04-28
Author(s):
Liao Ning; Li Ming; Liu Xing; Liu Hang; Zhou Hai; Zheng Chao; Dong Chaosqun.
Orthopedic Center,the Childrens Hospital,Chongqing Medical University,Ministry of Education Key Labo rator y of Child Development ＆ Disord ers,China in Ternational Science ＆ Technology Cooperation Base of Child Development ＆ Critical Disorders,Chongqing Key Labo ratory of Ped iatt ics，Chongqing 400014,China.
Keywords:
LeggCalvePerthes disease;  Triple pelvic osteotomy;  Containment treatment
Document code:
A
Abstract:
ObjectiveTo evaluate the therapeutic effect of triple pelvic osteotomy for LCPD in children.MethodsWe retrospectively reviewed the records of 39 patients (29 male and 10 female) with LCPD who were treated with triple pelvic osteotomy between with 2005 to 2012 in our hospital.All hips were classified with the modified lateral pillar classification (18 patients in lateral pillar group B,13 patients in lateral pillar group B/C,8 patients in lateral pillar group C).CE angle,Sharps angle,Acetabular index,Femoral head extrusion index were measured to analysis femoral head containment.Leg length discrepancy and the Stulberg classification were used for evaluate progonosis.ResultsIn the followup term,patients ranged 3 to 10 years (mean,5.3 years).38 patients exhibited femoral head containment at last followup.The lateral pillar B group or B/C group have a better stulberg classification with triple pelvic osteotomy.The lateral pillar classification is the factor related with Stulberg classification.Only two patients after treatment the LLD（Leg Length Discrepancy）is over 20 mm.ConclusionTriple pelvic osteotomy could achieve good containment effect in LCPD.To keep sphericity of the femoral head and congruity with acetabulum of the hip.This method could effectively prevent the complication of limp.It should be an effective procedure for treating LCPD in children.
Last Update: 2018-04-25