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KMID : 0378019720150020137
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New Medical Journal
1972 Volume.15 No. 2 p.137 ~ p.142
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Surgical Treatmentof Coxa Plana
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Abstract
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Coxa Plana (Legg-Calve´-Perthes Disease) is a primary infantile necrosis of the femoral head, of reversible type, which disappears for long latent periods, frequently leaving as a sequela of deformities mities causing secondary arthrosis of the hip joint.
The aim of treatment in coxa plana is the reduction of deformity during healing of the necrosis of 1 the capital femoral epiphysis. Frequently too little is achieved for too great an expanditure of the childs and parent´s time in most conservative therapy.
Surgery has beenin dicated in order to avoid the inconveniences of conventional conservative treatment. 6 cases of coxa plana treated at the Department of Orthopedic Surgery, National Medical Center
l through the year of 1967 to 1971 were analized and reported in this paper.
1. In 6 patients with coxa plana re-examined 3 to 73 months after treatment, the results were classed
as excellenti n 2, good in 2, and poor in 2 patients, Improvement of necrotic process after operation
was not still verified.
2. Prognosis was most unfavorable in advanced case. The patient with irregular head of femur in reparative stage had poor end result.
3. Deambulation should be permitted when total reparation of the necrotic lesion was radiographically observable. Most patients except one of reparative stage revealed more flattened femoral epiphysis at the time of analysis, which might be come from rather early weight-bearing.
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