Clinical and radiographic outcomes after femoral varus derotation osteotomy for Legg-Calve-Perthes disease at 25 years follow-up: what are the determinants of outcome in the long term?

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dc.contributor.authorAydin, Bahattin K.
dc.contributor.authorSofu, Hakan
dc.contributor.authorKonya, Mehmet N.
dc.contributor.authorEr, Turgay
dc.contributor.authorSahin, Vedat
dc.date.accessioned2020-03-26T19:23:20Z
dc.date.available2020-03-26T19:23:20Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: The main purposes of the present study were to analyse the long-term clinical and radiographic results of femoral varus derotation osteotomy performed in a group of patients with the diagnosis of Legg-Calve-Perthes (LCP) disease and to compare the effects of age, lateral pillar classification, radiographic stage according to Waldenstrom's classification, and the amount of varisation obtained on long-term results. Design: The study group consisted of 21 hips. The mean postoperative follow-up time was 25.1 years. The effect of age at the time of surgery, preoperative lateral pillar classification, Waldenstrom's classification, and the amount of varisation on Merle d'Aubigne score, Stulberg class, and presence of degenerative arthritis of the hip joint were assessed at the final follow-up. Results: Better clinical and radiographic outcomes were detected in patients operated younger than 10 years. The hips with lateral pillar group C involvement preoperatively were found to be significantly associated with worse clinical scores, worse radiographic outcome, and higher rate of degenerative arthritis. The overall rate of the hips with good radiologic outcome was 52.4%. 7 hips had degenerative arthritis at the final follow-up. Conclusions: Femoral varus derotation osteotomy revealed a congruent joint in half of the operated hips and arthritis-free hip joint in 2/3 at 25 years follow-up. Age at the time of surgery and preoperative lateral pillar classification were the main determinants of the radiographic outcome whereas the factors significantly correlated with progression to degenerative arthritis were determined preoperative lateral pillar classification and Stulberg group at maturity.en_US
dc.identifier.doi10.5301/hipint.5000329en_US
dc.identifier.endpage306en_US
dc.identifier.issn1120-7000en_US
dc.identifier.issn1724-6067en_US
dc.identifier.issue3en_US
dc.identifier.pmid26868117en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage301en_US
dc.identifier.urihttps://dx.doi.org/10.5301/hipint.5000329
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33357
dc.identifier.volume26en_US
dc.identifier.wosWOS:000383780100017en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSAGE PUBLICATIONS LTDen_US
dc.relation.ispartofHIP INTERNATIONALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDegenerative arthritisen_US
dc.subjectFemoral varus osteotomyen_US
dc.subjectLegg-Calve-Perthes diseaseen_US
dc.subjectLong-termen_US
dc.titleClinical and radiographic outcomes after femoral varus derotation osteotomy for Legg-Calve-Perthes disease at 25 years follow-up: what are the determinants of outcome in the long term?en_US
dc.typeArticleen_US

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