Resumo

Application of dynamic cephalic containtment orthosis in Legg-Calvé-Perhes disease. Rev Cubana Ortop Traumatol [online]. 2001, vol.15, n.1-2, pp. 13-21. ISSN 1561-3100.

This paper is a report on the preliminary result of the clinical trial of the application of Dinamic Cephalic Containment Orthosis (DCCO) developed in our center for treating Leg-Calvé-Perthes’ disease (LCPD). 26 hips from the l8 patients that were selected (10 unilateral and 8 bilateral) were studied. The results showed a significant improvement of the symptoms and signs previous to the treatment in spite of the fact that 73 % had a severe affection and cephalic extrusion corresponding to degrees III (48 %) and IV (27 %) of Catterall’s classification. According to the evaluation system used, the results were satisfactory in 80 %, which corresponded to class I (54 %) and class II (26 %) of Stulberg’s classification. The best results were obtained at ages between 4 and 7, independently of the affectation and cephalic suffering. The poor results (8 %) corresponded to patients over 8 with a severe degree of affectation. The utilization of DOCC accelerated the evolutive process of LCPD and according to its preliminary results, it seems to be an efficient treatment.

Palavras-chave : LEGG-PERTHES DISEASE [prevention & control]; OSTEOARTHRITIS, HIP; CONTROLLED CLINICAL TRIALS; STATISTICAL ANALYSIS; ORTHOPEDIC PROCEDURES.

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