History, Epidemiology, Risk Factors and Prediction, Symptoms, Clinical and Radiological Examination and Blood Work for Legg-Calve-Perthes Disease.- Staging and Classification of Severity of Legg-Calve-Perthes Disease and Its Relevance.- Treatment of Legg-Calve-Perthes Disease by Maintaining Abduction to Allow Dynamic Hip Modeling through Range of Motion Therapy.- Prevention and Early Treatment of Legg-Calve-Perthes Disease Utilizing Transphyseal Neck-Head Tunneling (TNHT).- Varus Derotational Osteotomy as Treatment of Legg-Calve-Perthes Disease.- Pelvic Osteotomies as Treatment for Legg-Calve-Perthes Disease.- Treatment of Legg-Calve-Perthes Disease of the Hip by Joint Distraction.- Comparison between Distraction and Femoral Varus Osteotomy in the Treatment of Legg-Calve-Perthes Disease.- Femoral Head Reduction Osteotomy for Coxa Magna and Nonspherical Femoral Head for Legg-Calve-Perthes Disease.- Biologic and Pharmacologic Treatment of Legg-Calve-Perthes Disease.
Legg-Calve-Perthes Disease (LCPD) remains a challenging hip condition to treat. More than a century after its identification, the etiology of LCPD remains unclear and treatment continues to be controversial. The main goal of treatment is to prevent femoral head deformation. Preservation of femoral head sphericity is known to minimize the risk of premature hip pain, stiffness and arthritis. The best ways to achieve these goals remain elusive. This book is replete with up-to-date discussions of history, epidemiology, radiology and classification systems for LCPD. It takes a well-balanced, evidence-based approach to various methods of treatment, from conventional containment femoral and pelvic surgery, to more cutting-edge procedures such as transfemoral head-neck tunneling, hip distraction, hip arthroscopy and intraarticular femoral head reshaping osteotomies, ending with a discussion of the latest biologic and pharmacologic treatment strategies. It is a well-illustrated tome for the various surgical techniques presented. The chapter authors, all experts in LCPD, share their practical, innovative and comprehensive approach to this challenging condition. Legg-Calve-Perthes Disease will be the definitive reference work on this condition for many years to come.
David S. Feldman, MD, Paley Orthopedic and Spine Institute, St. Mary's Medical Center, West Palm Beach, FL, USA
Dror Paley, MD, FRCSC, Director, Paley Orthopedic and Spine Institute, St. Mary's Medical Center, West Palm Beach, FL, USA