How do we treat Legg-Calvé-Perthes disease at Children's Colorado?
Perthes disease treatment involves both non-surgical and surgical options. When possible, we use non-surgical treatments to provide kids relief and reduce recovery time.
Non-surgical treatment for perthes disease
Non-surgical measures are taken to help with pain and maintain good range of motion in the hip. We may prescribe anti-inflammatory medication (like Ibuprofen or Naproxen) may be prescribed to help reduce inflammation in the hip and decrease pain. Because of pain and changes to the structure of the head of the femur, children can lose the ability to pull their leg to the side. Casting and/or bracing may be used to preserve the range of motion on the hip and help the head of the femur maintain a round shape.
Learn more about non-surgical perthes disease treatment options:
Surgical perthes disease treatment
In some cases, a surgical intervention may be appropriate. We offer two main surgeries for perthese disease: femoral osteotomy and pelvic osteotomy.
Femoral osteotomy for perthes disease
Femoral osteotomy will change the way the ball (femoral head) sits inside the hip socket (acetabulum). An incision is made in the thigh and the femur bone is cut and rotated for better alignment of the femoral head (ball) in the acetabulum (socket). The bone is secured with a metal plate and screws. This surgery is performed to help maintain the femoral head (ball) inside the acetabulum (socket).
Pelvic osteotomy for perthes disease
Later in life, once your child's healing process is complete, a surgical intervention may be necessary if there is femoroacetabular impingement, which may develop as a result of the change in shape of the end of the thigh bone and the hip socket. Sometimes, we may perform a pelvic osteotomy to improve the deformity of the hip. This surgery involves several cuts in the hip bone to reposition the hip socket over the ball of the femur.
Why choose Children's Colorado for your child's Legg-Calvé-Perthes disease?
By working together as a team, we are able to develop a comprehensive approach to both patient diagnosis and individualized treatment plans. Specialists from our Hip Preservation Program offer a broad spectrum of options for our patients and extend to include experts in the fields of rehabilitation, physical therapy, rheumatology, anesthesiology and pain.
With a sole focus on hip disease in young patients, our Hip Program is nationally recognized for excellence in hip surgeries, and our doctors educate healthcare providers around the nation on hip diseases and surgery. Our goal is to provide our patients with options for pain control, function improvement and preservation of the hip joint.