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Innominate osteotomy in Perthes disease.

H J Robinson1, H Putter, M B Sigmond

  • 1Department of Orthopaedic Surgery, University of Minnesota Hospitals and Clinics, Minneapolis 55455.

Journal of Pediatric Orthopedics
|July 1, 1988
PubMed
Summary
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Innominate osteotomy effectively treated severe Perthes disease in children, yielding good or fair clinical outcomes in 88% of cases. This surgical approach demonstrated positive results even with significant femoral head deformity.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Hip Preservation Surgery

Background:

  • Perthes disease, a childhood hip disorder, can lead to significant femoral head deformity and long-term disability.
  • Innominate osteotomy is a surgical technique used to treat severe Perthes disease.
  • Previous studies have reported varying outcomes for this procedure.

Purpose of the Study:

  • To evaluate the long-term clinical outcomes of innominate osteotomy in patients with severe Perthes disease.
  • To assess the efficacy of innominate osteotomy in improving hip function and morphology.

Main Methods:

  • A retrospective study of 27 patients who underwent innominate osteotomy for severe Perthes disease.
  • Analysis of clinical outcomes, including range of motion and pain.

Related Experiment Videos

  • Assessment of radiographic parameters and femoral head morphology.
  • Follow-up duration ranged from 5 years to over 16 years.

    • Main Results:

    • 88% of patients achieved clinically good or fair results.
    • 12% of patients had poor results.
    • The study included patients with significant femoral head deformity.
    • A notable proportion of patients were under 6 years old at disease onset.

    Conclusions:

    • Innominate osteotomy is an effective treatment for severe Perthes disease, even in cases with significant femoral head deformity.
    • The procedure can lead to favorable long-term clinical outcomes in a majority of pediatric patients.
    • Treatment durations, including preoperative and postoperative phases, may exceed those previously reported.