Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function
The diagnosis of Legg-Calvé-Perthes disease (LCPD) has a considerable influence on the daily life of the patients with restrictions in their leisure time activities. This might influence their mood. Until now this aspect of the disease has been neglected. Therefore the objective of the study was to...
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2014-11-01
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| Series: | Orthopedic Reviews |
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| Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/5567 |
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| author | Nina K. Palmen Christoph Zilkens Dietmar Rosenthal Rüdiger Krauspe Harald Hefter Bettina Westhoff |
| author_facet | Nina K. Palmen Christoph Zilkens Dietmar Rosenthal Rüdiger Krauspe Harald Hefter Bettina Westhoff |
| author_sort | Nina K. Palmen |
| collection | DOAJ |
| description | The diagnosis of Legg-Calvé-Perthes disease (LCPD) has a considerable influence on the daily life of the patients with restrictions in their leisure time activities. This might influence their mood. Until now this aspect of the disease has been neglected. Therefore the objective of the study was to evaluate the health related quality of life (HRQoL) of children with severe LCPD who had an extensive surgery with pelvic/femoral osteotomy. The KIDSCREEN-10 and the modified Modified Harris Hip Score (mHHS)-questionnaire were administered to 17 children (16 boys and 1 girl) aged 5 to 11 years at the time of surgery. Analyses of mHHS were made preoperatively and at the time of the follow-up examination at least 2 years postoperatively. KIDSCREEN-analyses were made postoperatively. The follow-up results were compared to an age-matched normal control group. Correlations were computed between KIDSCREEN-10 and mHHS pre- and post-operatively. The postoperative calculated KIDSCREEN-10-T-value [70.2 (SD 12.7)] was higher than the mean T-value of the control-group [56.6 (SD 10.4)]. The mHHS improved from 54.4 (SD 19.9) to a score of 99.5 (SD 1.5) postoperatively. A strong correlation was found between the preoperative mHHS and the postoperative KIDSCREEN-10- T-value (Spearman’s-rho 0.67, P=0.003). After containment improving surgery and a mean follow-up period of 4.2 years the HRQoL-status is even better compared with a healthy age-matched control group. As well an excellent clinical function could be achieved. |
| first_indexed | 2024-12-14T15:29:45Z |
| format | Article |
| id | doaj.art-2ac189ded02f4f43b977e1fcb8ce1d47 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-14T15:29:45Z |
| publishDate | 2014-11-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-2ac189ded02f4f43b977e1fcb8ce1d472022-12-21T22:55:55ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642014-11-016410.4081/or.2014.55672943Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical functionNina K. Palmen0Christoph Zilkens1Dietmar Rosenthal2Rüdiger Krauspe3Harald Hefter4Bettina Westhoff5Klinik für Orthopädie und Orthopädische Chirurgie, DüsseldorfKlinik für Orthopädie und Orthopädische Chirurgie, DüsseldorfInstitut für Technologien der Biomechanik und Biomaterialien GmbH in Neukirchen-VluynKlinik für Orthopädie und Orthopädische Chirurgie, DüsseldorfInstitut für Technologien der Biomechanik und Biomaterialien GmbH in Neukirchen-VluynKlinik für Orthopädie und Orthopädische Chirurgie, DüsseldorfThe diagnosis of Legg-Calvé-Perthes disease (LCPD) has a considerable influence on the daily life of the patients with restrictions in their leisure time activities. This might influence their mood. Until now this aspect of the disease has been neglected. Therefore the objective of the study was to evaluate the health related quality of life (HRQoL) of children with severe LCPD who had an extensive surgery with pelvic/femoral osteotomy. The KIDSCREEN-10 and the modified Modified Harris Hip Score (mHHS)-questionnaire were administered to 17 children (16 boys and 1 girl) aged 5 to 11 years at the time of surgery. Analyses of mHHS were made preoperatively and at the time of the follow-up examination at least 2 years postoperatively. KIDSCREEN-analyses were made postoperatively. The follow-up results were compared to an age-matched normal control group. Correlations were computed between KIDSCREEN-10 and mHHS pre- and post-operatively. The postoperative calculated KIDSCREEN-10-T-value [70.2 (SD 12.7)] was higher than the mean T-value of the control-group [56.6 (SD 10.4)]. The mHHS improved from 54.4 (SD 19.9) to a score of 99.5 (SD 1.5) postoperatively. A strong correlation was found between the preoperative mHHS and the postoperative KIDSCREEN-10- T-value (Spearman’s-rho 0.67, P=0.003). After containment improving surgery and a mean follow-up period of 4.2 years the HRQoL-status is even better compared with a healthy age-matched control group. As well an excellent clinical function could be achieved.http://www.pagepress.org/journals/index.php/or/article/view/5567Legg-Calvé-Perthes disease, osteotomy, KIDSCREEN, quality of life, modified Harris Hip Score |
| spellingShingle | Nina K. Palmen Christoph Zilkens Dietmar Rosenthal Rüdiger Krauspe Harald Hefter Bettina Westhoff Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function Orthopedic Reviews Legg-Calvé-Perthes disease, osteotomy, KIDSCREEN, quality of life, modified Harris Hip Score |
| title | Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function |
| title_full | Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function |
| title_fullStr | Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function |
| title_full_unstemmed | Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function |
| title_short | Post-operative quality of life in children with severe Perthes disease: differences to matched controls and correlation with clinical function |
| title_sort | post operative quality of life in children with severe perthes disease differences to matched controls and correlation with clinical function |
| topic | Legg-Calvé-Perthes disease, osteotomy, KIDSCREEN, quality of life, modified Harris Hip Score |
| url | http://www.pagepress.org/journals/index.php/or/article/view/5567 |
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