علاج التنخر الغضروفي العظمي اليافع للورك والحوض لدى الأطفال دون سن 8 مع الحفاظ على احتواء المفصل

References

DOI: 10.1007/s00402-025-05801-3

• In the initial phase of LCPD, when hip mobility is preserved and radiographic imaging confirms joint congruence with the epiphysis centered within the acetabular cup, conservative therapy remains the first-line treatment approach.
• If the skeletal age is less than 8 years, solely FVO is possible due to the sufficient revalgization potential.
• FVO is the first and most preferred surgical treatment for LCPD worldwide and shows favorable long-term results.
• This procedure aims to center the anterolateral portion of the femoral head in the acetabulum and prevent secondary changes.
• Varization of the proximal femur can be accomplished either by open- or closed wedge technique to improve containment if the femoral head is not sufficiently covered.
• To reduce the chances of these alterations, it is recommended to combine the procedure with trochanter apophyseodesis or distalization and not to exceed a correction of more than 15 degrees varus.
• Early stages of the disease (condensation or fragmentation stage) have shown to be more advantageous for surgery, as there is more remodeling potential.