49-260
La acetabuloplastia de Staheli en el tratamiento de la enfermedad de Legg- Calvé-Perthes en mayores de 6 años. Estudio preliminar.
Stahelis acetabuloplasty in the treatment of Legg-Calvé-Perthes disease in over 6 years old. Preliminary study.
J. M. Rios Ruh, M. F. Mínguez Rey, L. Pino Almero, R. M. Cibrián Ortiz De Anda, F. Gomar Sancho
Recepción:
15/01/2015
Aceptación:
15/01/2015
Publicación:
15/01/2015
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Resumen (ES)
Objective: To evaluate the functional and radiographic results of Stahelis acetabuloplasty as therapeuticoption in the surgical treatment of Legg-Calvé-Perthess disease of late debut. Material and method:we did a retrospective study of seven patients with Legg-Calvé-Perthess disease treated by means of Stahelisacetabuloplasty with an average follow-up of three years and three months. We analyzed clinical parameters(preoperative and end of the follow-up mobility) as well as radiographic parameters (Herrings classification,Heyman-Herndons index and Wibergs center-edge angle) before the surgical treatment, after the surgical treatmentand at the end of the follow-up. Results: Any patients presented complications due to the surgery. The physicalexploration showed an average improvement of 10º in the internal rotation of the hip. After the statisticalanalysis of the radiographic indexes (Heyman-Herndons index as well as Wibergs angle), there were statisticallysignificant differences between the preoperative X-ray and the postoperative one, but there were no statisticallysignificant differences between the postoperative one and the X-ray done at the end of the follow-up. Therefore,the radiographic indexes showed an improvement in these parameters that in addition kept stable in time. Conclusions:The technic of acetabuloplasty according to Staheli is a surgical option that leads to a good radiographicand functional result with few complications due to the procedure.
Palabras clave (ES):
Cotilo
Legg
Osteonecrosis
Necrosis
Acetabuloplastia
Cabeza
femoral
Acetábulo
quirúrgico
Staheli
de
Wiberg
Calvé
Perthes
Osteotomia
Tratamiento
Angulo
Fémur
Resumen (EN)
Objective: To evaluate the functional and radiographic results of Stahelis acetabuloplasty as therapeuticoption in the surgical treatment of Legg-Calvé-Perthess disease of late debut. Material and method:we did a retrospective study of seven patients with Legg-Calvé-Perthess disease treated by means of Stahelisacetabuloplasty with an average follow-up of three years and three months. We analyzed clinical parameters(preoperative and end of the follow-up mobility) as well as radiographic parameters (Herrings classification,Heyman-Herndons index and Wibergs center-edge angle) before the surgical treatment, after the surgical treatmentand at the end of the follow-up. Results: Any patients presented complications due to the surgery. The physicalexploration showed an average improvement of 10º in the internal rotation of the hip. After the statisticalanalysis of the radiographic indexes (Heyman-Herndons index as well as Wibergs angle), there were statisticallysignificant differences between the preoperative X-ray and the postoperative one, but there were no statisticallysignificant differences between the postoperative one and the X-ray done at the end of the follow-up. Therefore,the radiographic indexes showed an improvement in these parameters that in addition kept stable in time. Conclusions:The technic of acetabuloplasty according to Staheli is a surgical option that leads to a good radiographicand functional result with few complications due to the procedure.
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