Magnetic resonance imaging and early remodeling of the femoral head after femoral varus osteotomy in Legg-Calvé-Perthes disease.

Abstract

We studied 21 children with Legg-Calvé-Perthes Disease with a prognostically poor development, including lateralization, poor containment, anterolateral flattering, and deformation of the femoral head, as evaluated on serial magnetic resonance (MR) imaging. These children were treated with proximal femoral varus derotation osteotomy. The sphericity of the cartilaginous and bony femoral epiphysis was evaluated postoperatively on serial radiography and MR imaging. There was an early postoperative continuous spherical remodeling over a follow-up period of 3.0 years (1.0-5.1; SD, 1.3).