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Resurfacing for Perthes disease: an alternative to standard hip arthroplasty.

Publication ,  Conference
Boyd, HS; Ulrich, SD; Seyler, TM; Marulanda, GA; Mont, MA
Published in: Clin Orthop Relat Res
December 2007

Metal-on-metal total hip resurfacing is an alternative to conventional total hip arthroplasty with several reports describing the benefits of this procedure in young patients. We retrospectively compared the clinical (including range-of-motion and leg length restoration) and radiographic outcome of resurfacing in young patients with Legg-Calvé-Perthes to those of patients of a similar age treated with a standard total hip arthroplasty. Eighteen patients (19 hip resurfacings) who had a mean age of 33 years (range, 18-34 years) were followed for a minimum of 26 months (mean, 51 months; range, 26-72 months). We used an anterolateral approach in four hips and a posterior approach with a trochanteric advancement in 15 hips. Eighteen of the 19 hips had Harris hip scores greater than 80 points at final followup. All patients improved range of motion while avoiding any clinically apparent impingement. Leg length was gained in 16 hips where preoperative measurements were available. The short-term results of hip resurfacing for the treatment of Perthes disease compare similarly to those found in the literature for standard total hip arthroplasty in young patients. The trochanteric advancement technique described may aid in treating the deformed femoral anatomy.

Duke Scholars

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

December 2007

Volume

465

Start / End Page

80 / 85

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Time Factors
  • Severity of Illness Index
  • Retrospective Studies
  • Recovery of Function
  • Range of Motion, Articular
  • Radiography
  • Prosthesis Design
  • Orthopedics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Boyd, H. S., Ulrich, S. D., Seyler, T. M., Marulanda, G. A., & Mont, M. A. (2007). Resurfacing for Perthes disease: an alternative to standard hip arthroplasty. In Clin Orthop Relat Res (Vol. 465, pp. 80–85). United States. https://doi.org/10.1097/BLO.0b013e318156bf76
Boyd, Harold S., Slif D. Ulrich, Thorsten M. Seyler, German A. Marulanda, and Michael A. Mont. “Resurfacing for Perthes disease: an alternative to standard hip arthroplasty.” In Clin Orthop Relat Res, 465:80–85, 2007. https://doi.org/10.1097/BLO.0b013e318156bf76.
Boyd HS, Ulrich SD, Seyler TM, Marulanda GA, Mont MA. Resurfacing for Perthes disease: an alternative to standard hip arthroplasty. In: Clin Orthop Relat Res. 2007. p. 80–5.
Boyd, Harold S., et al. “Resurfacing for Perthes disease: an alternative to standard hip arthroplasty.Clin Orthop Relat Res, vol. 465, 2007, pp. 80–85. Pubmed, doi:10.1097/BLO.0b013e318156bf76.
Boyd HS, Ulrich SD, Seyler TM, Marulanda GA, Mont MA. Resurfacing for Perthes disease: an alternative to standard hip arthroplasty. Clin Orthop Relat Res. 2007. p. 80–85.
Journal cover image

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

December 2007

Volume

465

Start / End Page

80 / 85

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Time Factors
  • Severity of Illness Index
  • Retrospective Studies
  • Recovery of Function
  • Range of Motion, Articular
  • Radiography
  • Prosthesis Design
  • Orthopedics