Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study
Abstract Background Legg-Calve-Perthes Disease (LCPD) is described as idiopathic avascular osteonecrosis of the capital femoral epiphysis in pediatrics. LCPD is usually present in children between 2 and 15 years and happens more frequently in boys more than girls; this study aims to compare the outc...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-02-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-08109-2 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823863624161034240 |
|---|---|
| author | Peyman Mirghaderi Mohammad-Taha Pahlevan-Fallahy Saeed kargar-soleimanabad Danial Sharifi Razavi Alireza Moharrami Taghi Baghdadi Seyed Mohammad Javad Mortazavi |
| author_facet | Peyman Mirghaderi Mohammad-Taha Pahlevan-Fallahy Saeed kargar-soleimanabad Danial Sharifi Razavi Alireza Moharrami Taghi Baghdadi Seyed Mohammad Javad Mortazavi |
| author_sort | Peyman Mirghaderi |
| collection | DOAJ |
| description | Abstract Background Legg-Calve-Perthes Disease (LCPD) is described as idiopathic avascular osteonecrosis of the capital femoral epiphysis in pediatrics. LCPD is usually present in children between 2 and 15 years and happens more frequently in boys more than girls; this study aims to compare the outcome of two surgical methods in treating LCPD. Methods We included sixty patients with unilateral LCPD who underwent Salter or femoral varus osteotomy from 2007 to 2017. Patients were followed up for at least five years. Patients’ claudication, pain, leg circumference, range of motion, lever arm ratio (LAR), neck shaft angle (NSA), migration index, vertical distance, and the presence of teardrop sign, sagging rope sign, and Trendelenburg sign were evaluated five years after surgery. Results The mean neck shaft angle, the lever arm ratio, migration index and, sagging rope sign incidence in patients undergoing femoral varus osteotomy were significantly lower than those undergoing Salter surgery; the thigh circumference was higher in patients undergoing femoral varus osteotomy than those undergoing Salter osteotomy. Conclusion There were significant differences in biomechanical indices of hip and acetabulofemoral in salter and femoral varus osteotomy; the results of the current study are highly suggestive of prioritizing femoral varus osteotomy to Salter surgery. |
| format | Article |
| id | doaj-art-aa72907c52f2416190b6041d58d2f910 |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-aa72907c52f2416190b6041d58d2f9102025-02-09T12:04:24ZengBMCBMC Musculoskeletal Disorders1471-24742025-02-012611710.1186/s12891-024-08109-2Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort studyPeyman Mirghaderi0Mohammad-Taha Pahlevan-Fallahy1Saeed kargar-soleimanabad2Danial Sharifi Razavi3Alireza Moharrami4Taghi Baghdadi5Seyed Mohammad Javad Mortazavi6Surgical research society (SRS), Students’ Scientific Research Center, Tehran University of Medical SciencesSurgical research society (SRS), Students’ Scientific Research Center, Tehran University of Medical SciencesStudent Research Committee, Faculty of Medicine, Mazandaran University of Medical SciencesStudent Research Committee, Semnan University of Medical SciencesJoint Reconstruction Research Center, Tehran University of Medical SciencesJoint Reconstruction Research Center, Tehran University of Medical SciencesJoint Reconstruction Research Center, Tehran University of Medical SciencesAbstract Background Legg-Calve-Perthes Disease (LCPD) is described as idiopathic avascular osteonecrosis of the capital femoral epiphysis in pediatrics. LCPD is usually present in children between 2 and 15 years and happens more frequently in boys more than girls; this study aims to compare the outcome of two surgical methods in treating LCPD. Methods We included sixty patients with unilateral LCPD who underwent Salter or femoral varus osteotomy from 2007 to 2017. Patients were followed up for at least five years. Patients’ claudication, pain, leg circumference, range of motion, lever arm ratio (LAR), neck shaft angle (NSA), migration index, vertical distance, and the presence of teardrop sign, sagging rope sign, and Trendelenburg sign were evaluated five years after surgery. Results The mean neck shaft angle, the lever arm ratio, migration index and, sagging rope sign incidence in patients undergoing femoral varus osteotomy were significantly lower than those undergoing Salter surgery; the thigh circumference was higher in patients undergoing femoral varus osteotomy than those undergoing Salter osteotomy. Conclusion There were significant differences in biomechanical indices of hip and acetabulofemoral in salter and femoral varus osteotomy; the results of the current study are highly suggestive of prioritizing femoral varus osteotomy to Salter surgery.https://doi.org/10.1186/s12891-024-08109-2Perthes diseaseSalter osteotomyFemoral varus osteotomy |
| spellingShingle | Peyman Mirghaderi Mohammad-Taha Pahlevan-Fallahy Saeed kargar-soleimanabad Danial Sharifi Razavi Alireza Moharrami Taghi Baghdadi Seyed Mohammad Javad Mortazavi Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study BMC Musculoskeletal Disorders Perthes disease Salter osteotomy Femoral varus osteotomy |
| title | Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study |
| title_full | Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study |
| title_fullStr | Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study |
| title_full_unstemmed | Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study |
| title_short | Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study |
| title_sort | comparison of outcomes of salter and varus osteotomies in the treatment of legg calve perthes disease a retrospective cohort study |
| topic | Perthes disease Salter osteotomy Femoral varus osteotomy |
| url | https://doi.org/10.1186/s12891-024-08109-2 |
| work_keys_str_mv | AT peymanmirghaderi comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy AT mohammadtahapahlevanfallahy comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy AT saeedkargarsoleimanabad comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy AT danialsharifirazavi comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy AT alirezamoharrami comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy AT taghibaghdadi comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy AT seyedmohammadjavadmortazavi comparisonofoutcomesofsalterandvarusosteotomiesinthetreatmentofleggcalveperthesdiseasearetrospectivecohortstudy |