Abduction Cast in the Treatment of Perthes Disease (The second report)

DOI
  • Iwasaki K.
    Department of Orthopedic Surgery, Nagasaki University, School of Medicine
  • Watanabe T.
    Department of Orthopedic Surgery, Nagasaki University, School of Medicine
  • Horiuchi H.
    Department of Orthopedic Surgery, Nagasaki University, School of Medicine
  • Inoue Y.
    Division of Orthopedic Surgery, Ômura National Hospital
  • Okazaki T.
    Division of Orthopedic Surgery, Ômura National Hospital
  • Kawaguchi Y.
    Division of Orthopedic Surgery, Ômura National Hospital

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Other Title
  • ペルテス病に対する Abduction Cast 法

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Abstract

In the treatment of Legg-Calvé-Perthes disease, we held the hip joint in abduction and slight internal rotation by bilateral toe-to-groin cast with cross bar.<br>On 15 cases who have got well, the average time applied the abduction cast was 23.6 monthes.<br>We concluded about the effect of the abduction cast as followed.<br>The abduction cast prevented effectively defoming the femoral head, but it did not prevent changing the proximal end in the femur due to disturbance of the subcapital epiphyseal plate. Further, we think, it is important in the treatment of Legg-Calvé-Perhes disease, that patient was more active in the treatment of the cast than that of the traction in the bed.

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