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Treatments for Legg-Calve-Perthes disease

Treatments for Legg-Calve-Perthes disease

The list of treatments mentioned in various sources for Legg-Calve-Perthes disease includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

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Book Excerpts: Treatment of Legg-Calve-Perthes disease

Treatments of Legg-Calve-Perthes disease: Online Medical Books

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Legg-Calvé-Perthes disease: Treatment
(Professional Guide to Diseases (Eighth Edition))

The aim of treatment is to protect the femoral head from further stress and damage by containing it within the acetabulum. After 1 to 2 weeks of bed rest, therapy may include reduced weight bearing by means of bed rest in bilateral split counterpoised traction, then application of hip abduction splint or cast, or weight bearing while a splint, cast, or brace holds the leg in abduction. Braces may remain in place for 6 to 18 months. Analgesics help relieve pain. Physical therapy with passive and active range-of-motion exercises after cast removal helps restore motion.

For a young child in the early stages of the disease, osteotomy and subtrochanteric derotation provide maximum confinement of the epiphysis within the acetabulum to allow return of the femoral head to normal shape and full range of motion. Proper placement of the epiphysis thus allows remolding with ambulation. Postoperatively, the patient requires a spica cast for about 2 months.

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Source: Professional Guide to Diseases (Eighth Edition), 2005



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