Kanatli Ulunay, Ayanoglu Tacettin, Ozer Mustafa, Ataoglu Muhammet Baybars, Cetinkaya Mehmet
Department of Orthopedics and Traumatology, Medical Faculty of Gazi University, Ankara, Turkey.
Department of Orthopedics and Traumatology, Yozgat City Hospital, Yozgat, Turkey.
Acta Orthop Traumatol Turc. 2019 May;53(3):203-208. doi: 10.1016/j.aott.2019.03.005. Epub 2019 Apr 4.
The aim of this study was to represent the findings and long-term clinical results of the children who underwent hip arthroscopy because of Legg-Calve-Perthes Disease (LCPD).
This study included the retrospective findings of ten patients (mean age: 12.7 ± 2.75; range 7-16 years) who underwent arthroscopic hip debridement between 2010 and 2016 for LCPD disease. All of the patients underwent arthroscopic excision of the unstable osteochondral fragment following unsuccessful conservative treatment. In the statistical analysis, age, side, follow-up, Stulberg and Waldenström classification, preoperative and postoperative modified Harris Hip Score (mHHS) were evaluated.
The mean follow-up period was 55.4 ± 13.05 months (range: 40-72 months). There was no statistically significant association between good postoperative results and age, side, and the stage of the disease (p > 0.05). However, there was a significant difference between preoperative and postoperative mHHS (p = 0.005).
This study demonstrates an increase in the functional results and life quality of the patients who underwent hip arthroscopy due to LCPD. It is thought that hip arthroscopy, a minimally invasive procedure, may have an important role in the algorithm of LCPD treatment, especially in patients with severe pain and mechanical symptoms.
Level IV, therapeutic study.
本研究旨在呈现因Legg-Calve-Perthes病（LCPD）接受髋关节镜检查的儿童的研究结果及长期临床疗效。
本研究纳入了2010年至2016年间因LCPD疾病接受关节镜下髋关节清创术的10例患者（平均年龄：12.7±2.75岁；范围7 - 16岁）的回顾性研究结果。所有患者在保守治疗失败后均接受了关节镜下不稳定骨软骨碎片切除术。在统计分析中，评估了年龄、患侧、随访情况、Stulberg和Waldenström分类、术前和术后改良Harris髋关节评分（mHHS）。
平均随访期为55.4±13.05个月（范围：40 - 72个月）。术后良好结果与年龄、患侧及疾病分期之间无统计学显著关联（p>0.05）。然而，术前和术后mHHS之间存在显著差异（p = 0.005）。
本研究表明，因LCPD接受髋关节镜检查的患者功能结果和生活质量有所提高。人们认为，髋关节镜检查作为一种微创手术，可能在LCPD治疗方案中发挥重要作用，尤其是对于有严重疼痛和机械症状的患者。
IV级，治疗性研究。
