An observational study in Legg-Calvé-Perthes Disease, sponsored by Assaf-Harofeh Medical Center. Completed at 1 site in Israel. Per ClinicalTrials.gov, last updated 2016-02-08.
Sponsored by Assaf-Harofeh Medical Center · Observational
Background: Varus derotation osteotomy (VDRO) is one of the most popular surgical treatments for Legg-Calvé-Perthes disease yet its long term results have not been assessed. Our purpose was to determine the long term clinical and radiographic outcomes of these patients.
Methods: Forty patients (43 hips) who had undergone VDRO for LCPD who participated in a long term follow-up study a decade ago were approached for the present study.
All patients were treated in our institution during 1959 to 1983 with proximal VDRO.
The patients were invited to for a medical interview and a physical examination. They were also asked to fill out questionnaires and to provide or undergo a standing anteroposterior (AP) pelvic and a lateral hip radiographs during the visit.
Patients were asked to self-grade their hip pain as none, mild, moderate or severe and to grade their back pain using the Visual Analogue Scale (VAS) between 0-10. Details regarding daily function, physical activity, work status and family history were obtained. All participants completed the Harris Hip Score (HHS) with a maximum score of 100 and the Short Form-36 which is composed of 8 sections and has a maximum score of 100.
The physical examination included an assessment of the hip range of motion, leg length discrepancy and the presence of a Trendelenburg sign.
Radiographic parameters evaluated were the Tonnis grade (with a score between 0-3), head size ratio, and the center-edge (CE) angle.
31 studies on the registry are indexed under Legg-Calve-Perthes Disease; 7 are open to participants now.
This study's enrollment of 35 is below the median of 100 across 11 observational studies indexed under Legg-Calve-Perthes Disease.
Browse Legg-Calve-Perthes Disease studies →Assaf-Harofeh Medical Center is the lead sponsor of 258 studies on the registry; 40 are open to participants now.
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Forty patients (43 hips) who had undergone VDRO for LCPD who participated in a long term follow-up study a decade ago. All patients were treated in our institution during 1959 to 1983 with proximal VDRO.
Exclusion Criteria:
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The purpose of surgery was to relocate the protruded, deformed femoral head from its lateral position back to the acetabulum to achieve containment. Surgery was preceded by a hip arthrography with dynamic examination to find the suitable containment position and plan the correct osteotomy angles accordingly. A sub trochanteric osteotomy was performed then after in an open or closed wedge form, with fixation in an angle that gave best coverage.
Also known as: Femoral plate
Clinical outcomes
The hip status was assessed by the Harris Hip Score (HHS)
Time frame: a follow-up 42.5 years from surgery
Clinical outcomes
The Short Form-36 (SF-36) was used to asses the general well being
Time frame: a follow-up 42.5 years from surgery
Radiographic outcomes
The degenerative changes were assessed by The Tonnis grade.
Time frame: a follow-up 42.5 years from surgery
This study is completed, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.
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Assaf-Harofeh Medical Center