ArticleBMC musculoskeletal disorders2025
Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- [Legg-Calvé-Perthes disease in early childhood: conservative versus surgical management : A risk-adapted containment approach].Orthopadie (Heidelberg, Germany) · 2026Review
- Radiological Evaluation of Distal Trochanteric Transfer in Patients with Proximal Femoral Growth Disturbance.Sisli Etfal Hastanesi tip bulteni · 2026Article
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7 authors.
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Abstract
backgroundLegg-Calve-Perthes Disease (LCPD) is described as idiopathic avascular osteonecrosis of the capital femoral epiphysis in pediatrics. LCPD is usually present in children between 2 and 15 years and happens more frequently in boys more than girls; this study aims to compare the outcome of two surgical methods in treating LCPD.
methodsWe included sixty patients with unilateral LCPD who underwent Salter or femoral varus osteotomy from 2007 to 2017. Patients were followed up for at least five years. Patients' claudication, pain, leg circumference, range of motion, lever arm ratio (LAR), neck shaft angle (NSA), migration index, vertical distance, and the presence of teardrop sign, sagging rope sign, and Trendelenburg sign were evaluated five years after surgery.
resultsThe mean neck shaft angle, the lever arm ratio, migration index and, sagging rope sign incidence in patients undergoing femoral varus osteotomy were significantly lower than those undergoing Salter surgery; the thigh circumference was higher in patients undergoing femoral varus osteotomy than those undergoing Salter osteotomy.
conclusionThere were significant differences in biomechanical indices of hip and acetabulofemoral in salter and femoral varus osteotomy; the results of the current study are highly suggestive of prioritizing femoral varus osteotomy to Salter surgery.
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