Review of total hip resurfacing and total hip arthroplasty in young patients who had Legg-Calvé-Perthes disease.

Abstract

Patients with Legg-Calvé-Perthes disease can often be successfully treated with femoral head-preserving measures, such as bracing, or containment procedures with osteotomies. However, in some cases, after resolution of the disease, the femoral head may proceed to collapse or progress to severe arthritis at a young age. If nonoperative methods have failed, the only treatment options available for these adolescents or young adults may be a total hip resurfacing or a total hip arthroplasty (THA). This article focuses on the results and unique technical considerations of resurfacing and THA for patients who have severe hip osteoarthritis after resolved Legg-Calvé-Perthes disease.