Cortés MMA, Velázquez GZ, Vázquez MH, Mancilla AOA

Language: Spanish
References: 15
Page: 310-312
PDF size: 34.61 Kb.

ABSTRACT

A prospective, longitudinal study is carried out from 1997 at 1999, of 10 surgical interventions carried out with the Bado technique, in patients diagnosed with Legg-Calve-Perthes disease, with clinical-radiological pursuit of 24 months starting from the surgical procedure. Eight males and 2 women, with an average age of 5.5 (interval of 4 to 9 years); in the clinical evaluation pain, test of Trendelenburg, arches of mobility, muscular mass of the proximal thigh, and GSS (Globular Sedimentation speed) were analyzed; the radiological study included anteroposterior projection and of Lowestein, valuing Wiberg’s center-edge angle , stages according to Catterall, as well as remodeling the sphericity of the head according to the Mose method; the postsurgical handling is carried out differing the support with discharge belt and abduction therapy. The clinical control reported pain absence, normal march, negative Trendelenburg test, recovery of muscular mass, complete movement arches and normal globular sedimentation speed (GSS) in 100% of the cases; in the radiological evaluation the recovery of the sphericity was achieved in 70% of the cases, 20% discreet elliptic head and only 10% with coxa plana presence, without luxation data to articulate. This preliminary report demonstrates the effectiveness of the Bado surgery, in the good presage of the bony remodeling, as well as in the normal functional recovery and we believe that the precise follow-up and the narrow surveillance are fundamental to reach success.

REFERENCES

1. Bado JL. Miodisplasia congénita de la cadera; OT de Libro Montevideo; FUC; 1974; 9.

2. Canale G, Mostragostino S, Boero S. Surgical treatment of Legg-Calve-Perthes disease. Journal Orthop Traumatol (Italy) 1992; 18(4): 443-52.

3. Guy, Da Paz junior AC. Con an enlarged acetabulum cover the femoral head well Legg-Calve-Perthes disease; J Pediat Orthop 1999; 8(3): 173-6.

4. Hubbard AM, Dormans JP. Evaluation of developmental dysplasias, Perthes disease, and neuromuscular dysplasia of the hip in children before and after surgery: an imaging update. Am J Roeng 1995; 164(5): 1067-73.

5. Kapandji IA. Fisiología articular, tomo II, edit. Masson, pp. 50-53.

6. Kiepursk A. Late results of treatment in Perthes by a functional method. Clinic Orthop 1991; (272): 76-81.

7. Kulinich VI, Lorin VA. Experience with the surgical treatment of Perthes disease. Orthop Traum Prot 1991; (1): 30-1.

8. Leitch JM, Paterson DC, Foster BK. Grawth disturbance in Legg-Calve-Perthes disease and the consequences of surgical treatment. Clinic Orthop 1991; (262): 178-84.

9. Papavasiliov VA, Kirkos IM. Reconstruction of residual deformities of the hip. A new surgical option. Clinic Orthop 1997; (341): 123-7.

10. Park BM, Kim HW, Park SK. Innominate osteotomy for the of Legg-Calve-Perthes disease; Yonsei. Med J 1996; 37(39): 200-8.

11. Sheldon RS. Ciencias básicas en ortopedia. Am Acad Orthop Surg 1997; 1: 207-13.

12. Tachdjian MO. Ortopedia pediátrica; enfermedad de Legg-Calve-Perthes, edit. Interamericana, 1994; 2: 1008-1068.

13. Timofeeva MI, Miakoting LI. Biomechanical evaluation of the functional atate of the locomotor system and the effectiveness of surgical treatment of children with Legg-Calve-Perthes disease. Orthop Traum Prot 1990; (2): 24-7.

14. Van den Bogaert G, De Rosa E, Moens P, Fabry G. Bilateral Legg-Calve-Perthes disease; different from unilateral disease. J Pediat Orthop 1999; 8(3): 165-8.

15. Wang NH, Lee FT, Chin LS, Lo WH. Legg-Calve-Perthes disease: Clinical analysis of 57 cases. J Form Med Assoc 1990; 89(9): 764-71.