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2013, Número 6

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Acta Ortop Mex 2013; 27 (6)


Tratamiento de la enfermedad de Perthes tardía mediante artroscopía de cadera y artrodistasis con fijador externo. A propósito de un caso y revisión de la literatura

Galán M, Seijas R, Aguirre M, Ares Ó, Cuscó X, Cugat R

Idioma: Español
Referencias bibliográficas: 42
Paginas: 396-401
Archivo PDF: 251.26 Kb.


RESUMEN

Antecedentes: El pronóstico de los casos de Perthes de aparición tardía es en general malo y los tratamientos propuestos varían en función de las preferencias y experiencia del cirujano, así como de los medios de los que se disponga. La mayoría son procedimientos de rescate, con poco tiempo de seguimiento y con criterios de aplicación no unificados. Métodos: La artroscopía de cadera y la artrodiastasis con fijador externo son los procedimientos que tienen su indicación en determinadas situaciones de la enfermedad de Perthes. Basándonos en los resultados que ambas técnicas pueden ofrecer por separado, se han utilizado ambas en un caso de enfermedad de Perthes de mal pronóstico. Resultados: Los resultados a los dos años de la intervención fueron buenos. Conclusiones: La utilización de ambas técnicas de manera conjunta puede tener un buen resultado en el caso de estos pacientes.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. 1.Elly LW: Legg’s disease: arthritis deformans juveniles: osteochondritis deformans juveniles: “Perthes’s” disease. Ann. Surg. 1919; 69: 47-51.

  2. 2.Morrissy RT, Weinstein SL: Lovell and Winter’s Pediatric Orthopaedics. Sixth edition. Filadelfia: Lippincot William and Wilkins; 2006. pp 1039-84.

  3. 3.Ippolito E, Tudisco C, Farsetti P: The long-term prognosis of unilateral Perthes’ disease. J Bone Joint Surg Br. 1987; 69: 250-3.

  4. 4.Herring HA, Kim HT, Brown R: Legg-Calvé-Perthes disease. Part II: Prospective multicenter study of the effect of treatment on outcome. J Bone Joint Surg Am. 2004; 86: 2121-34.

  5. 5.Catterall A: The natural history of Perthes’s disease. J Bone Joint Surg Br. 1971; 53: 37-53.

  6. 6.Salter RB, Thompson GH: Legg-Calvé-Perthes disease. The prognostic significance of the subchondral fracture and a two-group classification of the femoral head involvement. J Bone Joint Surg Am. 1984; 66: 479-89.

  7. 7.Herring JA, Neustad JB, Williams JJ, Early JS, Browne RH: The lateral pillar classification of Legg-Calvé Perthes disease. J Pediatr Orthop.1992; 12: 143-50.

  8. 8.Grzegorzewsky A, Synder M, Kozlowski P, Szymczak W, Bowen RJ: The role of the acetabulum in Perthes disease. J Pediatr Orthop. 2006; 26: 316-21.

  9. 9.Catterall A: Legg-Calvé-Perthes’ disease: classification and pathology. In: Fitzgerald RH Jr.: The hip: Proceedings of the Thirteen Open Scientific Meeting of the Hip Society. St Louis MO: Mosby; 1985; 24.

  10. 10.Salter RB, Thompson GH: Legg-Calvé-Perthes’ disease: the prognostic significance of the subchondral fracture and a two group classification of the femoral head involvement. J Bone Joint Surg Am. 1984; 66: 479.

  11. 11.Catterall A: Legg-Calvé Perthes’ disease. Edinburg: Churchill Livingstone; 1982.

  12. 12.Eyre-Brook AL: Osteochondritis deformans coxae juvenilis, or Perthes’disease: the results of treatment by traction in recumbency. Br J Surg. 1936; 24(93): 166-82.

  13. 13.Martinez AG, Weinstein SL, Dietz FR: The weight bearing abduction brace for the treatment of Legg-Perthes’ disease. J Bone Joint Surg. 1992, 74: 12.

  14. 14.Meehan PL, Angel D, Nelson JM: The Scottish Rite abduction orthosis for the treatment of Legg-Perthes’ disease: a radiographic analysis. J Bone Joint Surg Am. 1992; 74: 2.

  15. 15.Yoo WJ, Choi IH, Chung CY, et al.: Valgus femoral osteotomy for hinge abduction in Perthes’ disease: decision making and outcomes. J Bone Joint Surg. 2004; 86B(5): 726-30.

  16. 16.Bankes MJ, Catterall A, Hashemi-Nejad A: Valgus extension osteotomy for “hinge abduction” in Perthes’ disease: results at maturity and factors influencing the radiological outcome. J Bone Joint Surg. 2000; 82B(4): 548-854.

  17. 17.Myers GJC, Mathur K, O’Hara: Valgus osteotomy. A solution for late presentation of hinge abduction in Legg-Calvé-Perthes’ disease. J Pediatr Orthop. 2008; 28(2): 169-72.

  18. 18.Freeman RT, Wainwright AM, Theologis TN, et al.: The outcome of patients with hinge abduction in severe Perthes disease treated by shelf acetabuloplasty. J Pediatr Orthop. 2008; 28(6): 619-25.

  19. 19.Canadell J, Gonzales F, Barrios RH, et al.: Arthrodiatasis for stiff hips in young patients. Int Orthop. 1993; 17(4): 254-8.

  20. 20.Kocaoglu M, Kilicoglu OI, Goksan SB: Ilizarov fixator for treatment of Legg-Calve´-Perthes disease. J Pediatr Orthop B. 1999; 8(4): 276–81.

  21. 21.Kukukkaya M, Kabukcuoglu Y, Ozturk I, et al.: Avascular necrosis of the femoral head in childhood: the results of treatment with articulated distraction method. J Pediatr Orthop. 2000; 20(6): 722–8.

  22. 22.Segev E, Ezra E, Wientroub S, et al.: Treatment of severe late onset Perthes’ disease with soft tissue release and articulated hip distraction: early results. J Pediatr Orthop B. 2004; 13(3): 158–65.

  23. 23.Maxwell SL, Lappin KJ, Kealey WD, et al.: Arthrodiatasis in Perthes’ disease. Preliminary results. J Bone Joint Surg Br. 2004; 86(2): 244–50.

  24. 24.Shin SJ, Kwak HS, Cho TJ, et al.: Application of Ganz surgical hip dislocation in pediatric hip disease. Clin Orthop Surg. 2009; 1(3): 132–7.

  25. 25.Choi IH, Yoo WJ., Cho TJ, Moon HJ: Principles of treatment in late stages of perthes disease. Orthopedic Clinics of North America. 2011; 42(3), 341-8.

  26. 26.Osman MK, Martin DJ, Sherlock DA: Outcome of late-onset Perthes’ disease using four different treatment modalities. Journal of children’s orthopaedics. 2009; 3(3): 235-42.

  27. 27.Joseph B, Malpuri K, Varghese G: Perthes disease in the adolescent. J Bone Joint Surg [Br]. 2001; 83-B: 715-20.

  28. 28.Kocher MS, Kim YJ, Millis MB, Mandiga R, Siparsky P, Micheli LJ, et al.: Hip arthroscopy in children and adolescents. Journal of Pediatric Orthopaedics. 2005; 25(5): 680-6.

  29. 29.Roy DR: Arthroscopic findings of the hip in new onset hip pain in adolescents with previous Legg–Calve- Perthes disease. Journal of Pediatric Orthopaedics B. 2005, 14(3): 151–5.

  30. 30.Stevens MS, LeGay DA, Glazebrook MA, Amirault D: The evidence for hip arthroscopy: grading the current indications. Arthroscopy: the journal of arthroscopic & related surgery. 2010; 26(10): 1370-83.

  31. 31.Byrd JWT, Jones KS: Hip arthroscopy in athletes. Clin Sports Med. 2001; 20: 749–62.

  32. 32.Larson CM, Guanche CA, Kelly BT, Clohisy JC, Ranawat AS: Advanced techniques in hip arthroscopy. Instr Course Lect. 2009; 58: 423-36.

  33. 33.Bowen JR, Kumar VP, Joyce JJ III, et al.: Osteochondritis dissecans following Perthes disease. Arthroscopic operative treatment. Clin Orthop. 1986; 209: 49–56.

  34. 34.Timothy R. Kuklo , J.D.,William G. Mackenzie and Kathryn A. Keeler, Hip Arthroscopy in Legg-Calve-Perthes Disease Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 15, No 1 (January-February), 1999; 88-92

  35. 35.Aldegheri R, Trivella G, Saleh M. Articulated distraction of the hip. In: De Bastiani G, Apley G, Goldberg A, eds.: Orthofix external fixation in trauma and orthopaedics. London: Springer Verlag, 2000; 605-12.

  36. 36.Canadell J, Gonzales F, Barrios RH, et al.: Arthrodiatasis for stiff hips in young patients. Int Orthop. 1993; 17(4): 254-8.

  37. 37.Guamiero R, Luzo CAM, Montenegro NB, Godoy RM: Legg-Calvé-Perthes disease: a comparative study between two types of treatment: femoral varus osteotomy and arthrochondrodiastasis with external fixation. EPOS. 2000.

  38. 38.Thacker M, Feldman D, Madan S, Straight J, Scher D: Hinged distraction of the adolescent arthritic hip. J Pediatr Orthop. 2005; 25: 178-82.

  39. 39.Segev E, Ezra E, Wientroub S, Yaniv M, Hayek S, Hemo Y: Treatment of severe late-onset Perthes’ disease with soft tissue release and articulated hip distraction: revisited at skeletal maturity. Journal of children’s orthopaedics. 2007; 1(4): 229-35.

  40. 40.Amer AR, Khanfour AA: Arthrodiastasis for late onset Perthes’ disease using a simple frame and limited soft tissue release: early results. Acta Orthop Belg. 2011; 77(4): 472-9.

  41. 41.Hosny GA, El-Deeb K, Fadel M, Laklouk M. Arthrodiastasis of the hip. Pediatr Orthop. 2011; 31(2 Suppl.): S229-34.

  42. 42.Sudesh P, Bali K, Mootha AK, Dhillon MS, Saini R: Arthrodiastasis and surgical containment in severe late-onset Perthes disease: an analysis of 14 patients. Orthop Belg. 2010; 76(3): 329-34.




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