Long-term Follow-up Study on Perthes Disease

摘要

Objective: To analyze the efficacy of various therapies on Perthes disease and summarize a systematic treatment strategy. Methods: One hundred and sixty-five cases mere long-term followed. The advantages and disadvantages of various therapies were compared. Results: Each method had its advantage and disadvantage; the effects were correlated with the stages and types of the patients and the therapy they were given. Simple treatment is recommended for type Ⅰ cases . For type Ⅱ , simple procedures can be used in stage Ⅰ of the patients and surgery was usually contraindicated for stage Ⅲ cases . For type Ⅲ, vascularized fibula grafting may be considered for cases of stage Ⅰ , Ⅱ and Ⅲ. For type Ⅳ cases, combined therapies should been considered. Conclusion: The therapy should be individualized to patient.