TOTBİD Dergisi

TOTBİD Dergisi

2017, Cilt 16, Sayı, 1     (Sayfalar: 042-050)

Pelvic osteotomies in Legg-Calvé-Perthes disease

Sancar Serbest 1, Mehmet Bulut 2, Lokman Karakurt 3

1 Kırıkkale Üniversitesi Tıp Fakültesi, Kırıkkale
2 Dicle Üniversitesi Tıp Fakültesi, Diyarbakır
3 Fırat Üniversitesi Tıp Fakültesi, Elazığ

DOI: 10.14292/totbid.dergisi.2017.08
Görüntüleme: 530
İndirme : 662

Since the idea that maintaining the femoral head in the acetabulum during all stages of the Legg-Calvé-Perthes has a positive effect on the course of the disease become widely accepted, the treatment either with non-surgical or surgical containment has commonly become preferred. The long duration of non-surgical containment treatments and the devices used for this purpose are very difficult to tolerate because they restrict the daily activities of the patient and adversely affect the quality of life. For these reasons, surgical containment seems to be one step ahead in selected patients. Recent comparative studies support this view. Although many different methods of pelvic osteotomies have been described in the literature for the treatment of Legg-Calvé-Perthes, the most commonly used methods are Chiari, Shelf, innominate and triple pelvic osteotomies. Among these osteotomies, especially between 6 and 8-year-old ages the innominate osteotomy is more foreground, while in older ages, varus osteotomy or more complicated and combined osteotomies such as triple osteotomy is recommended. However, regardless of which method is preferred, it is undeniable that the success rate of surgical treatment decreases as the age increases.

Anahtar Kelimeler : Legg-Calvé-Perthes; surgical treatment; pelvic osteotomies