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[PMID]:29394484
[Au] Autor:Smith TS
[Ti] Título:Non-Traumatic Limp and Fever in a School-Age Child.
[So] Source:Pediatr Nurs;43(2):96-7, 2017 Mar-Apr.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doença de Legg-Calve-Perthes/diagnóstico
Diagnóstico de Enfermagem
[Mh] Termos MeSH secundário: Criança
Diagnóstico Diferencial
Febre
Marcha
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29201291
[Au] Autor:Park KS; Cho KJ; Yang HY; Eshnazarov KE; Yoon TR
[Ad] Endereço:Department of Orthopaedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.
[Ti] Título:Long-term Results of Modified Salter Innominate Osteotomy for Legg-Calvé-Perthes Disease.
[So] Source:Clin Orthop Surg;9(4):397-404, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background: In a previous study, we reported clinical and radiographic results of our modified Salter innominate osteotomy technique in 16 hips affected by Legg-Calvé-Perthes disease (LCPD) with an average follow-up of 31.8 months. In this study, we present the long-term results of the osteotomy in LCPD patients followed until physeal closure. Methods: Thirty hips of 29 patients were followed until skeletal maturation after modified Salter innominate osteotomy. The mean follow-up duration was 12.9 years (range, 9.1 to 16.0 years). Eleven hips (36.7%) were classified as Catterall group III and 19 (63.3%) as Catterall group VI. Stable interposition of a bone block was achieved using one biodegradable screw in nine hips and without any fixation device in 21 hips by simply changing the direction of osteotomy. The Harris Hip Score (HHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and hip function were evaluated at the last follow-up. Radiological outcomes were evaluated using Wiberg's center-edge angle, the Mose method, and Stulberg classification, and osteoarthritic changes were evaluated using the Tonnis classification. Results: Mean HHS and WOMAC score were 80.2 points and 54 points, respectively, preoperatively and these were improved to 96.2 points and 28 points, respectively, at the last follow-up. Clinical results, according to Robinson's criteria, were good in 18, fair in seven, and poor in five hips. Radiological results assessed using the Mose method were good in 18, fair in six, and poor in six hips, and according to the Stulberg classification, nine hips were class I, nine were class II, eight were class III, and four were class IV. The mean center-edge angle improved from 19.7° preoperatively to 29.6° at the final follow-up. According the Tonnis classification, three hips were grade 2, five were grade 1, and 22 were grade 0. Of the three grade 2 hips, two underwent Chiari osteotomy 12.1 and 8.8 years postoperatively, and the other underwent total hip arthroplasty 12.9 years postoperatively. Conclusions: The modified Salter innominate osteotomy produced relatively satisfactory long-term clinical and radiological results.
[Mh] Termos MeSH primário: Articulação do Quadril/fisiopatologia
Doença de Legg-Calve-Perthes/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Desenvolvimento Ósseo
Criança
Pré-Escolar
Feminino
Seguimentos
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Doença de Legg-Calve-Perthes/complicações
Doença de Legg-Calve-Perthes/fisiopatologia
Masculino
Osteoartrite do Quadril/diagnóstico por imagem
Osteoartrite do Quadril/etiologia
Radiografia
Amplitude de Movimento Articular
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.397


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[PMID]:29182124
[Au] Autor:Eid MA
[Ti] Título:Hip preservation surgery for adolescents and young adults with Post-Perthes Sequelae.
[So] Source:Acta Orthop Belg;82(4):821-828, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Impingement ensures a narrow arc of pathologic loading in adolescent hips with sequelae of Perthes Disease. Proper surgical interference when the hip is still in the pre-arthritic stage restores function and protects the young hip from early degenerative changes. METHODS: Osteochondroplasty at the femoral head-neck junction and relative lengthening of the femoral neck by distal transfer of the greater trochanter was performed for 12 adolescents with combined intra-articular/extra-articular impingement due to sequelae of Perthes disease in terms of coxa magna, coxa plana, coxa brevis, with an overriding greater trochanter. The safe surgical hip dislocation approach was performed in all cases. Patients were followed for an average of 24 months. RESULTS: The Harris hip scores improved from an average of 58 preoperatively (range 50 to 69) to 94 postoperatively (range 91 to 97) at latest follow up. The range of hip flexion improved from a preoperative value of 84.2° (range, 60 to 105°) to value of 120.8° (range, 95 to 130°). Changes in hip flexion averaged 28.6° (range, 15 to 45°). Mean internal rotation increased to 26° ± 12°, and abduction to 38° ± 11°. Alpha angle improved to 40° ± 8°. The mean of center-trochanteric distance improved from an average of -18 mm to -1 mm. No osteonecrosis or chondrolysis was noted up to the time of the latest follow up. CONCLUSION: Elimination of narrow arc of pathologic loading due to impingement is the main advantage of the proposed surgical technique. Other advantages include increased abductor lever arm and restoration of hip joint range of motion with normalization of the loading conditions, and hence future development of degenerative arthritis and the anticipated need for a future joint replacement surgery could be prevented or delayed. Femoral head vascularity is well maintained with the proven safety of the presented surgical approach.
[Mh] Termos MeSH primário: Impacto Femoroacetabular/cirurgia
Cabeça do Fêmur/cirurgia
Colo do Fêmur/cirurgia
Articulação do Quadril/cirurgia
Doença de Legg-Calve-Perthes/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Feminino
Impacto Femoroacetabular/etiologia
Seres Humanos
Doença de Legg-Calve-Perthes/complicações
Masculino
Tratamentos com Preservação do Órgão
Amplitude de Movimento Articular
Procedimentos Cirúrgicos Reconstrutivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28466612
[Au] Autor:Berman J; Aran A; Berenstein-Weyel T; Lebel E
[Ad] Endereço:Hebrew University-Hadassah Medical School, Shaare Zedek Medical Center affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel.
[Ti] Título:Exploring the Association between Legg-Calvé-Perthes Disease and Attention Deficit Hyperactivity Disorder in Children.
[So] Source:Isr Med Assoc J;18(11):652-654, 2016 Nov.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Legg-Calvé-Perthes disease (LCPD) is an idiopathic hip osteonecrosis prevalent in children < age 15 years. The etiology remains incompletely understood, partly because of multiple potential environmental risk factors and partly because of lack of genetic markers. It has been hypothesized that hyperactivity may induce mechanical stress and/or vascular damage at a fragile joint. OBJECTIVES: To assess children with LCPD for markers of attention deficit hyperactivity disorder (ADHD) relative to their unaffected comparably aged siblings to exclude the contribution of hyperactive behavior versus environmental and/or genetic factors in LCPD. METHODS: All children followed in the Pediatric Orthopedic Clinic, and their comparably aged siblings, were recruited. ADHD was assessed using the TOVA computerized test and DSM-IV criteria. Quality of life and sleep disorders as ancillary tests were assessed using the Child Health Questionnaire (Parent Form 50), Pediatric Outcomes Data Collection Instrument, and Pediatric Daytime Sleepiness Scale. RESULTS: Sixteen children with LCPD (age 9.1 ± 3.3, 75% males) were compared with their closest-aged siblings (age 9.3 ± 2.6, 30% males). Mean TOVA scores of children with LCPD (-3.79 ± 2.6) and of their non-LCPD siblings (-3.6 ± 4.04) were lower relative to the general population (0 ± 1.8, P < 0.0001). Both group means were in the ADHD range (≤ -1.8) implying that 73% of this LCPD cohort and 53% of their non-LCPD siblings performed in the ADHD range, relative to 3.6% incidence expected in the general population (P < 0.0001). Other test results were similar in both groups. CONCLUSIONS: Our findings in a small cohort of children with LCPD and their comparably aged siblings do not support an association between LCPD and ADHD. ADHD markers were equally high in the LCPD children and siblings.
[Mh] Termos MeSH primário: Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia
Doença de Legg-Calve-Perthes/epidemiologia
Qualidade de Vida
Transtornos do Sono-Vigília/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Transtorno do Deficit de Atenção com Hiperatividade/complicações
Criança
Pré-Escolar
Feminino
Seres Humanos
Incidência
Doença de Legg-Calve-Perthes/complicações
Masculino
Fatores de Risco
Irmãos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


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[PMID]:28768789
[Au] Autor:Perry DC; Thomson C; Pope D; Bruce CE; Platt MJ
[Ad] Endereço:Alder Hey Children's Hospital, E Prescot Road, Liverpool, L14 5AB, UK.
[Ti] Título:A case control study to determine the association between Perthes' disease and the recalled use of tobacco during pregnancy, and biological markers of current tobacco smoke exposure.
[So] Source:Bone Joint J;99-B(8):1102-1108, 2017 Aug.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: It is well established that there is a strong association between Perthes' disease and worsening socioeconomic deprivation. It has been suggested that the primary determinant driving this association is exposure to tobacco smoke. This study aimed to examine this hypothesis. PATIENTS AND METHODS: A hospital case-control study (n = 149/146) examined the association between tobacco smoke exposure and Perthes' disease, adjusting for area-level socioeconomic deprivation. Tobacco smoke exposure was assessed by parental questionnaire of smoking habits during pregnancy, and by quantitative assay of current exposure using the urinary cotinine-creatinine ratio, which is a widely used and validated measure of tobacco smoke exposure. RESULTS: The odds of Perthes' disease significantly increased with reported exposure after adjustment for socioeconomic deprivation (maternal smoking odds ratio (OR) 2.06, 95% confidence interval (CI) 1.17 to 3.63; paternal smoking OR 2.09, 95% CI 1.26 to 3.46). The cotinine-creatinine ratio was significantly greater in cases, OR 1.63 (95% CI 1.09 to 2.43), suggesting a greater 'dose' of current tobacco exposure. CONCLUSION: An association exists between tobacco smoke exposure and Perthes' disease but we remain unable to disentangle the association with socioeconomic deprivation. Cite this article: 2017;99-B:1102-8.
[Mh] Termos MeSH primário: Biomarcadores/metabolismo
Doença de Legg-Calve-Perthes/etiologia
Fumar/efeitos adversos
Poluição por Fumaça de Tabaco/efeitos adversos
Tabaco/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Incidência
Doença de Legg-Calve-Perthes/epidemiologia
Doença de Legg-Calve-Perthes/metabolismo
Gravidez
Estudos Retrospectivos
Fatores de Risco
Fatores Socioeconômicos
Fatores de Tempo
Reino Unido/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Tobacco Smoke Pollution)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B8.BJJ-2016-1282.R1


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[PMID]:28767613
[Au] Autor:Kwon KS; Wang SI; Lee JH; Moon YJ; Kim JR
[Ad] Endereço:aDepartment of Preventive Medicine, Chonbuk National University Medical School bDepartment of Orthopaedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital and Research Institute for Endocrine Sciences, Jeonju, Republic of Korea.
[Ti] Título:Effect of greater trochanteric epiphysiodesis after femoral varus osteotomy for lateral pillar classification B and B/C border Legg-Calvé-Perthes disease: A retrospective observational study.
[So] Source:Medicine (Baltimore);96(31):e7723, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is a retrospective observational study. Greater trochanteric epiphysiodesis (GTE) has been recommended to prevent Trendelenburg gait and limitation of the hip joint motion due to trochanteric overgrowth after femoral varus osteotomy (FVO) in Legg-Calvé-Perthes disease (LCPD). However, capital femoral physeal arrest frequently occurs in patients with severe disease (lateral pillar C), so GTE might not be as effective in these patients. The aim of this study was to compare trochanteric growth inhibition due to GTE after FVO between 2 age groups (<8 or >8 years) in patients with lateral pillar B and B/C border LCPD and evaluate the effectiveness of GTE compared with the normal, unaffected hip.This study included 19 children with lateral pillar B and B/C border LCPD in 1 leg who underwent FVO followed by GTE. Of the 19 children, 9 underwent GTE before the age of 8 years and 10 underwent GTE after 8 years of age. On radiographs taken at the immediate postoperative period and at skeletal maturity, the articulo-trochanteric distance (ATD), center-trochanteric distance (CTD), and neck-shaft angle (NSA) were compared between the 2 age groups. The amount of correction was compared between groups. The contralateral, unaffected hip was used as a control for trochanteric growth. The patients were clinically evaluated with Iowa hip score at the final follow-up.There was no significant difference between the 2 age groups in terms of time to GTE, length of follow-up, or lateral pillar classification. In the affected hip, the amount of correction of the ATD, CTD, and NSA was significantly greater in patients < 8 years than in patients > 8 years. However, in the unaffected hip, the change in the ATD, CTD, and NSA did not differ significantly between the 2 groups.We suggest that FVO followed by GTE for lateral pillar B and B/C border LCPD in patients under the age of 8 years can affect growth of the greater trochanter. However, effective growth inhibition due to GTE was not achieved after 8 years of age.
[Mh] Termos MeSH primário: Fêmur/crescimento & desenvolvimento
Fêmur/cirurgia
Lâmina de Crescimento/cirurgia
Doença de Legg-Calve-Perthes/cirurgia
Osteotomia
[Mh] Termos MeSH secundário: Fatores Etários
Criança
Fêmur/diagnóstico por imagem
Seguimentos
Lâmina de Crescimento/diagnóstico por imagem
Seres Humanos
Doença de Legg-Calve-Perthes/classificação
Doença de Legg-Calve-Perthes/diagnóstico por imagem
Masculino
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007723


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[PMID]:28663408
[Au] Autor:Shohat N; Gilat R; Shitrit R; Smorgick Y; Beer Y; Agar G
[Ad] Endereço:Rothman Institute at Thomas Jefferson University Hospital, Sheridan Building, Suite 1000, 125 South 9th Street, Philadelphia, USA.
[Ti] Título:A long-term follow-up study of the clinical and radiographic outcome of distal trochanteric transfer in Legg-Calvé-Perthes' disease following varus derotational osteotomy.
[So] Source:Bone Joint J;99-B(7):987-992, 2017 Jul.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: To assess the long-term effect of distal trochanteric transfer (DTT) on the clinical and radiographic outcomes of patients with Legg-Calvé-Perthes' disease (LCPD) following a varus derotational osteotomy (VDRO). PATIENTS AND METHODS: For this single centre cross-sectional retrospective study we analysed the data of 22 patients (24 hips) with LCPD who had greater trochanteric overgrowth (GTO), following a VDRO performed in our institution between 1959 and 1983. GTO was defined as an articular trochanteric distance (ATD) of < 5 mm. We compared the radiographic and clinical outcomes of patients who underwent DTT for GTO (ten patients, ten hips) with those who did not (12 patients, 14 hips). Age at presentation was 6.9 years (4 to 10) and 8.0 years (3.2 to 12) respectively. Symptoms associated with the hip and general quality of life were assessed using the Harris hip score (HHS) and the Short Form (SF)-36 questionnaires. RESULTS: At long-term follow-up of the DTT group, the ATD was 21.7 mm (standard deviation (sd) 9.8) and the centro-trochanteric distance (CTD) was 13.8 mm (sd 8.3). In the control group the ATD was -0.6 mm (sd 7.8) and the CTD was 32.5 mm (sd 10.2). These differences were statistically significant (p < 0.001). The mean HHS and SF-36 scores were 68.4 (sd 25.0) and 62.0 (sd 27.7) for the DTT group and 73.2 (sd 24.2) and 73.3 (sd 21.5) for the control group, respectively. There was no statistically significant difference in the HHS (p = 0.63) or SF-36 score (p = 0.25). There were four patients who had undergone hip arthroplasty in the DTT group (40%) and one patient (7.1%) in the control group (p = 0.07). The mean age at the time of arthroplasty was 45.3 years (42.1 to 56.5) and 43.6 years respectively. Six patients in the DTT group suffered from moderate to severe osteoarthritis (Tönnis grade 2 or 3) compared with eight patients in the control group (60% 57.1%, p = 0.61). CONCLUSION: Although DTT improved the radiographic results in the long-term follow-up of patients with GTO following VDRO, there was no clinical benefit seen in the HHS, SF-36 or incidence of osteoarthritis compared with patients who had not undergone DTT. Cite this article: 2017;99-B:987-92.
[Mh] Termos MeSH primário: Fêmur/cirurgia
Doença de Legg-Calve-Perthes/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Criança
Estudos Transversais
Avaliação da Deficiência
Feminino
Seguimentos
Seres Humanos
Doença de Legg-Calve-Perthes/diagnóstico por imagem
Masculino
Meia-Idade
Qualidade de Vida
Estudos Retrospectivos
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B7.BJJ-2016-1346.R2


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[PMID]:28613966
[Au] Autor:Huhnstock S; Svenningsen S; Merckoll E; Catterall A; Terjesen T; Wiig O
[Ad] Endereço:a Department of Paediatric Orthopaedic Surgery , Oslo University Hospital.
[Ti] Título:Radiographic classifications in Perthes disease.
[So] Source:Acta Orthop;88(5):522-529, 2017 Oct.
[Is] ISSN:1745-3682
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background and purpose - Different radiographic classifications have been proposed for prediction of outcome in Perthes disease. We assessed whether the modified lateral pillar classification would provide more reliable interobserver agreement and prognostic value compared with the original lateral pillar classification and the Catterall classification. Patients and methods - 42 patients (38 boys) with Perthes disease were included in the interobserver study. Their mean age at diagnosis was 6.5 (3-11) years. 5 observers classified the radiographs in 2 separate sessions according to the Catterall classification, the original and the modified lateral pillar classifications. Interobserver agreement was analysed using weighted kappa statistics. We assessed the associations between the classifications and femoral head sphericity at 5-year follow-up in 37 non-operatively treated patients in a crosstable analysis (Gamma statistics for ordinal variables, γ). Results - The original lateral pillar and Catterall classifications showed moderate interobserver agreement (kappa 0.49 and 0.43, respectively) while the modified lateral pillar classification had fair agreement (kappa 0.40). The original lateral pillar classification was strongly associated with the 5-year radiographic outcome, with a mean γ correlation coefficient of 0.75 (95% CI: 0.61-0.95) among the 5 observers. The modified lateral pillar and Catterall classifications showed moderate associations (mean γ correlation coefficient 0.55 [95% CI: 0.38-0.66] and 0.64 [95% CI: 0.57-0.72], respectively). Interpretation - The Catterall classification and the original lateral pillar classification had sufficient interobserver agreement and association to late radiographic outcome to be suitable for clinical use. Adding the borderline B/C group did not increase the interobserver agreement or prognostic value of the original lateral pillar classification.
[Mh] Termos MeSH primário: Doença de Legg-Calve-Perthes/classificação
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Cabeça do Fêmur/diagnóstico por imagem
Seres Humanos
Doença de Legg-Calve-Perthes/diagnóstico
Doença de Legg-Calve-Perthes/diagnóstico por imagem
Masculino
Variações Dependentes do Observador
Prognóstico
Radiografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171001
[Lr] Data última revisão:
171001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.1080/17453674.2017.1340040


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[PMID]:28385931
[Au] Autor:Lee KH; Jo WL; Ha YC; Lee YK; Goodman SB; Koo KH
[Ad] Endereço:National Medical Center, 245, Eulji-ro, Jung-gu, Seoul, South Korea.
[Ti] Título:Total hip arthroplasty using a monobloc cementless femoral stem for patients with childhood Perthes' disease.
[So] Source:Bone Joint J;99-B(4):440-444, 2017 Apr.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Modular or custom-made femoral components have been preferred for total hip arthroplasty (THA) in patients with a history of Perthes' disease because of the distortion in the anatomy of the proximal femur. However, it has not been established whether a monobloc cementless stem will fit the distorted proximal femur or whether the results of the procedure are satisfactory in this group of patients. PATIENTS AND METHODS: We reviewed 68 consecutive patients who had undergone THA for childhood Perthes' disease between June 2003 and December 2008. There were 35 men and 33 women with a mean age of 48 years (16 to 73) at the time of index arthroplasty. Their mean body mass index was 24.4 (18.3 to 32.9). Of the 68 hips, 32 were classified as Stulberg class III and 36 as class IV. The mean pre-operative shortening of the affected leg was 17.2 mm (5 to 34). The minimum follow-up was five years (mean 8.5 years; 5.2 to 10). RESULTS: An intra-operative calcar fracture occurred in eight hips (11.8%) and was successfully treated by cerclage wiring. The mean stem version was 14.6° (-2.3 to 30; standard deviation (sd) 7.3). The mean acetabular component abduction was 40.2° (23.7 to 56.0; sd 6.5) and the mean anteversion 28.3° (6.4 to 43.0; sd 7.6), respectively. The mean follow-up was 8.5 years (5.2 to 10). No dislocations occurred and no hips were revised during the course of the study. At final follow-up, the mean Harris Hip Score was 91 points (59 to 100) and the mean University of California, Los Angeles activity score was 3.2 (2 to 8). CONCLUSION: Monobloc cementless stems reliably restore the anatomy in Perthes' disease at THA without the need for custom-made or modular implants. Cite this article: 2017;99-B:440-444.
[Mh] Termos MeSH primário: Artroplastia de Quadril/métodos
Prótese de Quadril
Doença de Legg-Calve-Perthes/cirurgia
Osteoartrite do Quadril/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Cimentação
Feminino
Fêmur/cirurgia
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Doença de Legg-Calve-Perthes/complicações
Doença de Legg-Calve-Perthes/diagnóstico por imagem
Masculino
Meia-Idade
Osteoartrite do Quadril/diagnóstico por imagem
Osteoartrite do Quadril/etiologia
Desenho de Prótese
Radiografia
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170502
[Lr] Data última revisão:
170502
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B4.BJJ-2016-0259.R1


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[PMID]:28290756
[Au] Autor:Meiss AL; Barvencik F; Babin K; Eggers-Stroeder G
[Ad] Endereço:a Orthopaedicum-Hamburg.
[Ti] Título:Denosumab and surgery for the treatment of Perthes' disease in a 9-year-old boy: favorable course documented by comprehensive imaging- a case report.
[So] Source:Acta Orthop;88(3):354-357, 2017 06.
[Is] ISSN:1745-3682
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Conservadores da Densidade Óssea/uso terapêutico
Denosumab/uso terapêutico
Doença de Legg-Calve-Perthes/terapia
[Mh] Termos MeSH secundário: Criança
Terapia Combinada
Cabeça do Fêmur/diagnóstico por imagem
Seres Humanos
Doença de Legg-Calve-Perthes/diagnóstico por imagem
Doença de Legg-Calve-Perthes/tratamento farmacológico
Doença de Legg-Calve-Perthes/cirurgia
Imagem por Ressonância Magnética
Masculino
Osteotomia
Radiografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Bone Density Conservation Agents); 4EQZ6YO2HI (Denosumab)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.1080/17453674.2017.1298020



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