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Comparative Study
. 2001;25(5):305-7.
doi: 10.1007/s002640100267.

Radiological evaluation of surgical treatment in Perthes' disease

M Zenios  1 , C Hutchinson, C S Galasko
Affiliations
Comparative Study

Radiological evaluation of surgical treatment in Perthes' disease

M Zenios et al. Int Orthop. 2001.

Abstract
in English, French

We compared the late radiographic results of femoral head coverage in two unselected groups of patients with Perthes' disease, one treated conservatively and one with surgical containment. Forty-eight hips were treated surgically and 28 hips were managed conservatively. The preoperative radiographs were classified using both the Salter and Herring classifications. We found no significant difference in femoral head coverage between the groups. However, there was a trend towards a better femoral head coverage following surgical containment of Salter type B and Herring type II and III hips. The authors conclude that surgical containment may offer a better prognosis for patients with the more severely affected hips.

Nous avons comparé les résultats radiographiques tardifs de la couverture de la tête fémorale dans deux groupes non sélectionnés de patients atteints de maladie de Perthes', l'un traité d'une manière conservatrice (48 hanches) et l'autre de façon chirurgicale (28 hanches). Les radiographies preopératoires ont été classées en utilisant les classifications de Salter et de Herring. Nous n'avons trouvé aucune différence notable de la couverture de la tête fémorale entre les 2 groupes. Cependant il y avait une tendance à une meilleure couverture après une amélioration chirurgicale dans le type Salter B et les types Herring II et III. Les auteurs concluent que la chirurgie offre un meilleur pronostic pour les malades ayant les hanches le plus sévèrement affectées.

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