Open AccessEarly Diagnosis and Choice of Curative Tactics in Legg-Calve-Pertes’ Disease
Author(s) -
O A Batalov,
A. B. Bogosayn,
И. В. Мусихина,
N. A. Tenilin,
A. G. Sosnin,
M. V. Permaykov,
D. B. Vashkevich,
P. S. Vvedenskiy,
V. M. Kochemasov
Publication year - 1998
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto104393
Subject(s) - medicine , conservative treatment , surgery , disease , legg calve perthes disease , femoral head
The experience of diagnosis and treatment of 155 children with Legg-Calve-Perthes disease (LCPD) is presented. The high efficacy of sonography and radiothermometry in diagnosis of the early LCPD stages is showed. Sixty two patients were treated conservatively and 93 patients were operated on. Conservative treatment was used in patients with IIII LCPD stages when interrelations of joint elements were in norm. The following therapeutic remedies were used: hyperbaric oxygenation, acupuncture as well as drug therapy by new scheme. Indications to operative treatment, i.e. intervention in proximal femur or pelvic bones, were the incongruency of articular surfaces and failure of conservative treatment during 6 months even in normal interrelation of articular elements. Given scheme of diagnosis and treatment of LCPD allowed to achieve good and satisfactory results in 92.3% of patients.