Health Condition 1: M959- Acquired deformity of musculoskeletal system, unspecified
Conditions
Interventions
None listed
Sponsors
Dr Chaitan Jaunky
Dr Hitesh Shah
Dr Kumar Amerendra Singh
Eligibility
Inclusion criteria
Inclusion criteria: Children between 3-12 years of age with diagnosis of Perthes Disease made and presented to the Perthes Clinic at Kasturba Hospital as part of standard care of management Children who presented at stage 1 and stage 2 Those who underwent treatment (operative and nonoperative) All children (age group 3-12 years, both gender, unilateral/bilateral) presented at stage of avascular necrosis and at stage of fragmentation are treated. The children less than 7 years are treated with non operatively without presence of extrusion, children younger than 7 years with presence of extrusion are treated with containment procedure. The children older than 7 years are treated with surgical containment (varus derotation osteotomy). All are followed up prospectively till healing of the disease. Avascular necrosis is defined where the epiphysis becomes sclerotic with or without loss of the height of capital femoral epiphysis. The stage of Fragmentation is defined as one or two fragmentation from the subchondral bone to the physis in either view. The Stage of Remodelling is where early new bone formation is formed and healed stage is where femoral head is fully reossified. The duration of the disease is calculated from first radiograph of first day of presentation to healing. All children will be assessed clinically and radiologically at the stage of healing. These variables will be assessed clinically: range of movement of both hips, Trendelenburg test, shortening, ability to sit cross legged and squat, genu valgum and genu recurvatum.
Exclusion criteria
Exclusion criteria: Children who presented at stage 3 and 4 initially Those who refused treatment ( operative and non operative) Those whose diagnosis of perthes not made (sickle cell anemia , avascular necrosis of hip)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| These variables will be assessed clinically: range of movement of both hips, Trendelenburg test, shortening, ability to sit cross legged and squat, genu valgum and genu recurvatum. Radiologic outcome would be calculated based on Moses Classification system, Stulberg Classification system and Sphericity Deviation score. Timepoint: The variables as described above will be assessed based on the data - proforma and xrays stored in the medical records of Kasturba Hospital and as when the child comes for follow up in Perthes Clinic as standard of care during the period of study allotted | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the duration of the disease from the presentation to complete Healing of the disease.Timepoint: The variables will be assessed based on the proforma and xrays stored in the medical records of the hospital and as when the child comes for follow up in Perthes Clinic as part of standard of care during the study period allotted | — |
Countries
India
Contacts
Public ContactDr Chaitan Jaunky
KASTURBA MEDICAL COLLEGE MANIPAL INSTITUTE OF HIGHER EDUCATION MANIPAL
Outcome results
None listed