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Legg-Calve-Perthes 병에 있어서 대퇴골 내반 절골술의 장기 성적
위진상 ( Jin Sang Wie ),노성만 ( Sung Man Rowe ),정을오 ( El O Jung ),임영진 ( Young Jin Lim ),송지훈 ( Ji Hun Song ),정명국 ( Myung Guk Jung ) 대한고관절학회 2009 Hip and Pelvis Vol.21 No.3
Purpose: The purpose of this study was to evaluate the long term results of performing femoral varus osteotomy (FVO) for the treatment of Legg-Calve-Perthes disease (LCPD). Materials and Methods: We selected 35 LCPD patients who received FVO and they were followed up to the time their skeletons` matured. The inclusion criteria were patients in a fragmentation stage, the patients were in Catterall group Ⅲ or Ⅳ, and the patients underwent a teleoroentgenographic examination at the time of full skeletal maturity. Results: The radiological outcome at the time of skeletal maturity was assessed using Stulberg`s classification. The final results were 4 hips in class I, 17 hips in class II, 13 hips in class III, one hip in class IV and none in class V. The satisfactory results (good+fair hips) were 34 hips (97%). Significant shortening (>10 mm) was observed in 12 hips (34%). In 35 patients, 5 (14%) had same leg length (less than 2 mm difference), 27 (77%) had shortening of 2 mm or more, and 3 had lengthening of 2 mm or more in the operated limb. Of these 12 patients with significant shortening, only 3 patients (9%) showed shortening of 21 mm or more. Conclusion: FVO is a reliable method for managing LCPD in patients who are in Catterall group III or IV and who are in the fragmentation stage of disease.
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