Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review

Caldaci, Alessia; Testa, Gianluca; Dell’Agli, Eleonora; Sapienza, Marco; Vescio, Andrea; Lucenti, Ludovico; Pavone, Vito

doi:10.3390/children9081121

Open AccessSystematic Review

Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review

by

Alessia Caldaci

,

Gianluca Testa

,

Eleonora Dell’Agli

,

Marco Sapienza

,

Andrea Vescio

,

Ludovico Lucenti

and

Vito Pavone

^*

Department of General Surgery and Medical-Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy

^*

Author to whom correspondence should be addressed.

Children 2022, 9(8), 1121; https://doi.org/10.3390/children9081121

Submission received: 25 June 2022 / Revised: 18 July 2022 / Accepted: 22 July 2022 / Published: 27 July 2022

(This article belongs to the Section Pediatric Orthopedics & Sports Medicine)

Download

Browse Figures

Review Reports Versions Notes

Abstract

Background: Legg–Calvè–Perthes disease (LCPD) is a common childhood disease that usually occurs in 4- to 12-year-old children. Surgical treatment consists of femoral, pelvic, or combined osteotomies. This comprehensive review aimed to investigate the mid- and long-term outcome of the surgical treatment. Methods: A systematic review of PubMed, Science Direct, and MEDLINE databases was performed by two independent authors, using the keywords “outcome”, “surgical treatment”, “pelvic osteotomy”, “femoral osteotomy”, and “Legg–Calvè–Perthes disease” to evaluate studies of any level of evidence that reported the surgical outcome of LCPD. The result of every stage was reviewed and approved by two senior investigators. Results: A total of 2153 articles were found. At the end of the screening, we selected 23 articles eligible for full-text reading according to the inclusion and exclusion criteria. Our analysis showed that the main prognostic factors for surgical outcome in patients with LCPD are the age at onset and the degree of initial disease severity. Conclusions: Surgical treatment in patients older than 6 years has excellent results in Herring B and B/C hips and poor results in Herring C hips, with a slight advantage for patients between 6 and 8 years old.

Keywords: outcome; surgical treatment; Legg–Calvè–Perthes disease; pelvic osteotomy; femoral osteotomy; combined osteotomy

Share and Cite

MDPI and ACS Style

Caldaci, A.; Testa, G.; Dell’Agli, E.; Sapienza, M.; Vescio, A.; Lucenti, L.; Pavone, V. Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review. Children 2022, 9, 1121. https://doi.org/10.3390/children9081121

AMA Style

Caldaci A, Testa G, Dell’Agli E, Sapienza M, Vescio A, Lucenti L, Pavone V. Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review. Children. 2022; 9(8):1121. https://doi.org/10.3390/children9081121

Chicago/Turabian Style

Caldaci, Alessia, Gianluca Testa, Eleonora Dell’Agli, Marco Sapienza, Andrea Vescio, Ludovico Lucenti, and Vito Pavone. 2022. "Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review" Children 9, no. 8: 1121. https://doi.org/10.3390/children9081121

APA Style

Caldaci, A., Testa, G., Dell’Agli, E., Sapienza, M., Vescio, A., Lucenti, L., & Pavone, V. (2022). Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review. Children, 9(8), 1121. https://doi.org/10.3390/children9081121

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Menu

Mid–Long-Term Outcomes of Surgical Treatment of Legg-Calvè-Perthes Disease: A Systematic Review

Abstract

Share and Cite

Article Metrics

Article Access Statistics

Further Information

Guidelines

MDPI Initiatives

Follow MDPI