Legg-Clave-Perthes disease - Treatment

Treatment includes eliminating irritability balance, restore and maintain normal mobility of the hip, femoral epiphyseal collapse prevention and maintenance of femoral head in acetabulum until healing.Minimum initial therapy includes weight support in the affected limb and joint protection by keeping the femur in abduction and internal rotation so that the femoral head in acetabulum to be outstanding.Osteotomy or orthoses are used.
Surgical therapy:Surgical results seem to be better than the application of orthoses.Surgical approaches include surgical femoral osteotomy to redirect the portion involved in the acetabulum. Surgery does not promote healing of the femoral head, but favors reosificarea spherical head in the model.
As Legg-Clave-Perthes disease is a self-limiting condition treatment consists of joint protection by allowing the formation of bone and regaining the femoral head sphericity. We want to prevent an irregular outline, flattening the mushroom head, tail and neck thickening and flattening of the vertical walls of the acetabulum. Development of any of these conditions lead to osteoarthritis at an early age.
Prognosis:Legg-Calve-Perthes disease do not require emergency treatment.It is a self-limiting condition. Treatment may involve surveillance, especially in children under 6 years. Restriction of abduction and exercise are recommended. Nonchirurgicala stabilization of the femoral head in acetabulum in various rods, Plasters and screws can be tried. After entering the healing phase will follow the patient every 6 months. To determine the final outcome is necessary during surveillance. Surgical correction of gross deformities of the femoral head may be necessary. Recent studies show that surgical treatment in children under 8 years of evolution does not improve.The disease can cause deformation of the femoral head and degenerative joint disease.