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Hip Septic Arthritis: A Rare Complication

Volume 5 | Issue 1 | Jan-Apr 2019 | Page: 14-19 | Mohamed Daffe, Lamine Sarr, Alioune B. Gueye, Badara Dembele, Alioune B. Diouf, Andre Sane, Charles Dieme. Authors : Mohamed Daffé [1], Lamine Sarr [1], Alioune B. Gueye [1], Badara Dembélé [1], Alioune B. Diouf [1], André Sané [1], Charles Diémé [1] 1 Department of […]

Validation of Catterall Classification in the Management of Legg-CalvePerthes Disease

Volume 5 | Issue 1 | Jan-Apr 2019 | Page: 20-24 | B Pasupathy, Suresh Babu, M. Sathish Authors : B. Pasupathy [1], Suresh Babu [1], M. Sathish [1] [1] Department of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai Address of Correspondence Dr. M.Sathish, Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General […]

Hip Septic Arthritis: A Rare Complication

Validation of Catterall Classification in the Management of Legg-CalvePerthes Disease

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Hip Septic Arthritis: A Rare Complication

Volume 5 | Issue 1 | Jan-Apr 2019 | Page: 14-19 | Mohamed Daffe, Lamine Sarr, Alioune B. Gueye, Badara Dembele, Alioune B. Diouf, Andre Sane, Charles Dieme.

Authors : Mohamed Daffé [1], Lamine Sarr [1], Alioune B. Gueye [1], Badara Dembélé [1], Alioune B. Diouf [1], André Sané [1], Charles Diémé [1]

1 Department of Orthopédie-Traumatologie, CHU A. Le Dantec, Dakar, Sénégal.

Address of Correspondence
Dr. Charles Diémé

Department of Orthopédie-Traumatologie, CHU A. Le Dantec, Dakar, Sénégal.

Email: chbevaljo65@gmail.com

Abstract

The authors report a rare complication of septic hip arthritis in a 4-year-old child. It is a detachment with sliding of the proximal femoral epiphysis in the thigh. This complication results from metaphyseal osteomyelitis. After 2 years of follow-up, the patient has very disabling sequelae. It is a therapeutic challenge.

bSeptic hip, detachment, migration, sequelae.

References

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18. Gskalp MA, Ceylan MF, Güner S, Türktaş U, Ediz L. Hip dislocation and physis separation relate to the delayed diagnosis of septic arthritis–case report. J Clin Anal Med 2014;5:59-61.

19. Schiavon R, Borgo A, Micaglio A. Septic physeal separation of proximal femur in a new born. J Orthopaed Traumatolol 2009;10:105-10.

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How to Cite this Article: Agashe M. Clinical and radiological features and Classification of Slipped capital femoral epiphysis. International Journal of Paediatric Orthopaedics Jan – April 2019;5(1):14-19.

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Validation of Catterall Classification in the Management of Legg-CalvePerthes Disease

Volume 5 | Issue 1 | Jan-Apr 2019 | Page: 20-24 | B Pasupathy, Suresh Babu, M. Sathish

Authors : B. Pasupathy [1], Suresh Babu [1], M. Sathish [1]

[1] Department of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai

Address of Correspondence
Dr. M.Sathish,

Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai – 03.

Email:drsathishmuthu@gmail.com

Abstract

Introduction: Despite the advancement in the recent times, there is still no consensus about the ideal classification that could grade the patient with Perthes disease preoperatively and prognosticate its outcome on follow-up. Although principal dictum in the management of Perthes disease is to contain the femoral head in the acetabular socket to prevent deformation of the femoral head, method of containment and candidate selection for surgery depends on the stage of presentation of the disease where classification system plays a major role. The aim of our study to is validate the role of Catterall classification in grading the disease preoperatively and prognosticating its outcome and categorising the post op outcome by Catterall postoperative scale.

Materials & methods: This is a prospective study done from 2014-2018 where 72 children with Perthes disease were categorised and managed based on the Catterall classification and outcome was analysed. Surgical containment by varus derotation osteotomy was done in all patients presenting late and with severe disease and in patients with head at risk signs.

Results: Mean age of presentation was 7.4 years and out of 72 children, 26 belonged to grade 2 and 32, 14 belonged to grade 3 and 4 respectively. Surgical containment was done in 68 patients and in all patients containment was maintained till last follow-up. At a mean follow up of 2.4 years, good results were obtained in 49, fair in 21 and poor in 3 children using Catterall’s postoperative classification. Radiological evaluation was done using Caput Index and Epiphyseal Quotient to assess the regenerative potential of the femoral head. Statistical analysis revealed significant results on follow up, with earlier grades having significantly better outcome compared to the late stage of disease.

Conclusion: We concluded from our study that Catterall classification was consistent in prognosticating better outcome in patients presenting with low grade at early age and ideally selecting patients for surgical containment for advanced disease. Our study suggests that varus derotation osteotomy is an effective and easy surgical containment method for children with advanced disease that significantly altered the natural history of this self-limiting pathology.

Keywords: Legg Calve Perthes Disease, Classification, Catterall

References

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How to Cite this Article: Pasupathy B, Babu S, Sathish M. Validation of Catterall Classification in the Management of Legg-Calve-Perthes Disease. International Journal of Paediatric Orthopaedics Jan-April 2019;5(1): 24.

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Hip Septic Arthritis: A Rare Complication

Validation of Catterall Classification in the Management of Legg-CalvePerthes Disease

Hip Septic Arthritis: A Rare Complication

Validation of Catterall Classification in the Management of Legg-CalvePerthes Disease

Full Sized Blog Element (Big Preview Pic)

Hip Septic Arthritis: A Rare Complication

Authors : Mohamed Daffé [1], Lamine Sarr [1], Alioune B. Gueye [1], Badara Dembélé [1], Alioune B. Diouf [1], André Sané [1], Charles Diémé [1]

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

Validation of Catterall Classification in the Management of Legg-CalvePerthes Disease

Authors : B. Pasupathy [1], Suresh Babu [1], M. Sathish [1]

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

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