Mehmet E. Baki, Orthopedic and Traumatology Department, School of Medicine, Karadeniz Technical University, Trabzon, Turkey
Muhammet Kalkışım, Orthopedic and Traumatology Department, School of Medicine, Karadeniz Technical University, Trabzon, Turkey
Celal Baki, Orthopedic and Traumatology Department, School of Medicine, Karadeniz Technical University, Trabzon, Turkey
Objective: We evaluated the long-term clinical and radiographic outcomes of femoral valgus extension osteotomy combined tectoplasty in Herring group C Perthes disease patients with hinge abduction. Method: A total of 13 patients underwent this procedure between 2002 and 2009. In this retrospective study, all patients were classified as Herring group C. The mean age at diagnosis was 8.6 ± 2.2 years. The mean age at surgery was 9.3 ± 1.7 years. The mean age at the most recent follow-up was 23.3 years (range 19-29 years). All patients were followed at least 11.5 years after surgery. Results: All patients had hinge abduction deformity preoperatively. The mean Harris hip score improved from 70.23 ± 10.43 points preoperatively to 91.76 ± 7.25 points at the final follow-up. No patient had a limping gait at the final follow-up. The pre-operative visual analog scale score was 7.84 ± 0.22, and the last follow-up was 1.03 ± 0.25 (p < 0.001). According to the Stulberg classification, good radiological outcomes were obtained in 7 hips, whereas fair or poor outcomes were noted in 6 hips. Conclusions: In severely affected hips of Perthes, patients who underwent femoral valgus extension osteotomy combined tectoplasty revealed satisfactory long-term clinical and radiological outcomes.
Keywords: Tectoplasty. Femoral valgus extension osteotomy. Hinge abduction. Herring group C.