Early Results of Femoral Head Reduction Osteotomy in Late Perthes Disease
Alattar, W., Refaie, E., Hammouda, A., Elmarghany, M., Aprato, A., Ibrahim, M. (2025). Early Results of Femoral Head Reduction Osteotomy in Late Perthes Disease. EKB Journal Management System, 2025(2), 147-152. doi: 10.21608/aimj.2025.446431
Waleed Abd Allah Salama Alattar; Eissa Ragheb Refaie; Ahmed Ismail Hammouda; Mohammed Ali Abdo Elmarghany; Alessandro Aprato; Mohamed Adel Abdel Hamid Ibrahim. "Early Results of Femoral Head Reduction Osteotomy in Late Perthes Disease". EKB Journal Management System, 2025, 2, 2025, 147-152. doi: 10.21608/aimj.2025.446431
Alattar, W., Refaie, E., Hammouda, A., Elmarghany, M., Aprato, A., Ibrahim, M. (2025). 'Early Results of Femoral Head Reduction Osteotomy in Late Perthes Disease', EKB Journal Management System, 2025(2), pp. 147-152. doi: 10.21608/aimj.2025.446431
Alattar, W., Refaie, E., Hammouda, A., Elmarghany, M., Aprato, A., Ibrahim, M. Early Results of Femoral Head Reduction Osteotomy in Late Perthes Disease. EKB Journal Management System, 2025; 2025(2): 147-152. doi: 10.21608/aimj.2025.446431

Early Results of Femoral Head Reduction Osteotomy in Late Perthes Disease

Al-Azhar International Medical Journal
Volume 2025, Issue 2, February 2025, Page 147-152  XML PDF (550.5 K)
Document Type: Original Article
DOI: 10.21608/aimj.2025.446431
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Authors
Waleed Abd Allah Salama Alattar* 1; Eissa Ragheb Refaie1; Ahmed Ismail Hammouda1; Mohammed Ali Abdo Elmarghany1; Alessandro Aprato2; Mohamed Adel Abdel Hamid Ibrahim1
1Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
2Orthopedic Surgery, Faculty of Medicine, Turin university Turin, Italy
Abstract
Background: In LCPD, the femoral head usually deforms because of the failure of the acetabulum to contain the soft head, which finally results in an abnormal morphology that causes FAI in adult life.
Aim of the Work: The purpose of our research was to assess the early clinical and radiological results after femoral head reduction osteotomy(FHRO) of a severely deformed head in late stages of LCPD.
Patients and Methods: Our prospective study was conducted at Al-Azhar University Hospitals, Cairo, Egypt, on 15-cases with a severely deformed femoral head.
Results: The mean age of the studied cases was 10.87±1.96 years and ranged between 9 and 14, and the BMI mean was 22.33±3.96 and ranged from 17 to 29 kg/m2. 10-cases(66.7%) males and 5(33.3%) females. All patients had open femoral physis; the affected side was right in 7(46.7%) and left in 8(53.3%). Concomitant surgeries done were PAO in 1(6.7%), triple pelvic osteotomy in 6(40.0%).  Relative neck lengthening in 14(93.3%), anterior offset trimming in 7(46.7%), adductor tenotomy in 3(20.0%), and Subsequent surgery needed was hardware removal in 6(40.0%). The complications were minimal, with only one patient having AVN.
Conclusion: FHRO is an appropriate treatment for a severely deformed head in LCPD.
Keywords
FHRO; LCPD
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