Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review
Background: Legg–Calvè–Perthes disease (LCPD) is a common childhood disease that usually occurs in 4- to 12-year-old children. Surgical treatment consists of femoral, pelvic, or combined osteotomies. This comprehensive review aimed to investigate the mid- and long-term outcome of the surgical treatm...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/8/1121 |
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| author | Alessia Caldaci Gianluca Testa Eleonora Dell’Agli Marco Sapienza Andrea Vescio Ludovico Lucenti Vito Pavone |
| author_facet | Alessia Caldaci Gianluca Testa Eleonora Dell’Agli Marco Sapienza Andrea Vescio Ludovico Lucenti Vito Pavone |
| author_sort | Alessia Caldaci |
| collection | DOAJ |
| description | Background: Legg–Calvè–Perthes disease (LCPD) is a common childhood disease that usually occurs in 4- to 12-year-old children. Surgical treatment consists of femoral, pelvic, or combined osteotomies. This comprehensive review aimed to investigate the mid- and long-term outcome of the surgical treatment. Methods: A systematic review of PubMed, Science Direct, and MEDLINE databases was performed by two independent authors, using the keywords “outcome”, “surgical treatment”, “pelvic osteotomy”, “femoral osteotomy”, and “Legg–Calvè–Perthes disease” to evaluate studies of any level of evidence that reported the surgical outcome of LCPD. The result of every stage was reviewed and approved by two senior investigators. Results: A total of 2153 articles were found. At the end of the screening, we selected 23 articles eligible for full-text reading according to the inclusion and exclusion criteria. Our analysis showed that the main prognostic factors for surgical outcome in patients with LCPD are the age at onset and the degree of initial disease severity. Conclusions: Surgical treatment in patients older than 6 years has excellent results in Herring B and B/C hips and poor results in Herring C hips, with a slight advantage for patients between 6 and 8 years old. |
| first_indexed | 2024-03-09T04:35:35Z |
| format | Article |
| id | doaj.art-1f34020f78c341a5a67b91914efdb8f2 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T04:35:35Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-1f34020f78c341a5a67b91914efdb8f22023-12-03T13:28:05ZengMDPI AGChildren2227-90672022-07-0198112110.3390/children9081121Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic ReviewAlessia Caldaci0Gianluca Testa1Eleonora Dell’Agli2Marco Sapienza3Andrea Vescio4Ludovico Lucenti5Vito Pavone6Department of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyBackground: Legg–Calvè–Perthes disease (LCPD) is a common childhood disease that usually occurs in 4- to 12-year-old children. Surgical treatment consists of femoral, pelvic, or combined osteotomies. This comprehensive review aimed to investigate the mid- and long-term outcome of the surgical treatment. Methods: A systematic review of PubMed, Science Direct, and MEDLINE databases was performed by two independent authors, using the keywords “outcome”, “surgical treatment”, “pelvic osteotomy”, “femoral osteotomy”, and “Legg–Calvè–Perthes disease” to evaluate studies of any level of evidence that reported the surgical outcome of LCPD. The result of every stage was reviewed and approved by two senior investigators. Results: A total of 2153 articles were found. At the end of the screening, we selected 23 articles eligible for full-text reading according to the inclusion and exclusion criteria. Our analysis showed that the main prognostic factors for surgical outcome in patients with LCPD are the age at onset and the degree of initial disease severity. Conclusions: Surgical treatment in patients older than 6 years has excellent results in Herring B and B/C hips and poor results in Herring C hips, with a slight advantage for patients between 6 and 8 years old.https://www.mdpi.com/2227-9067/9/8/1121outcomesurgical treatmentLegg–Calvè–Perthes diseasepelvic osteotomyfemoral osteotomycombined osteotomy |
| spellingShingle | Alessia Caldaci Gianluca Testa Eleonora Dell’Agli Marco Sapienza Andrea Vescio Ludovico Lucenti Vito Pavone Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review Children outcome surgical treatment Legg–Calvè–Perthes disease pelvic osteotomy femoral osteotomy combined osteotomy |
| title | Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review |
| title_full | Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review |
| title_fullStr | Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review |
| title_full_unstemmed | Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review |
| title_short | Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review |
| title_sort | mid long term outcomes of surgical treatment of legg calve perthes disease a systematic review |
| topic | outcome surgical treatment Legg–Calvè–Perthes disease pelvic osteotomy femoral osteotomy combined osteotomy |
| url | https://www.mdpi.com/2227-9067/9/8/1121 |
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