Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Objective: Our ideal objective was to assess clinically and radiologically the efficacity of shelf osteotomy in early LCPD with epiphyseal extrusion without hinge-abduction and/or severe stages. Patients and Methods: A prospective case study conducted at Al-Hussein Hospital, Cairo, Egypt on 20 children with unilateral LCPD, were treated with shelf acetabuloplasty. 14 boys and six girls shared , with 20 hips involved (11 right hip and 9 left hip). Results: The mean follow-up was 4.9 years (3-6 years). No cases complained of disability or activity limitation. ROM has greatly improved. Internal rotation improved from an average of 15° to 35.9°. Radiographic non union of the shelf was achieved in zero case. Conclusion: Shelf acetabuloplasty in early extruded femoral head and before extrusion improves and restores pain-free hip movements and improves sphericity of the femoral head and in turn stulberg functional outcome in children with perthes disease. Level of evidence: IV.
Source: Orthopedic Reviews
DOI: 10.52965/001c.133990
Authors: Mohammed Elmarghany, tarek M. Abdelghaffar, AHMED ELGEUSHY, YEHIA HASANIN, EHAB ELZAHED, MOHAMED NASR AKL, AHMED M. KHAIRY, MOHAMED I. ABULSOUD, MOHAMED ADEL, Jorge Knorr
Institutions: Al-Azhar University, Institut de Recerca Sant Joan de Déu
Language: English
Topic: Hip disorders and treatments
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,200
Funder: Al-Azhar University
OpenAlex ID: W4409655502