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March 28, 1959, Vol 169, No. 13 >
ARTICLE | March 28, 1959

LATE RESULTS IN OSTEOCHONDROSIS OF CAPITAL EPIPHYSIS OF FEMUR (LEGG-CALVÉ-PERTHES DISEASE)

Warren G. Stamp, M.D.; Gregorio Canales, M.D.; Richard T. Odell, M.D.
JAMA. 1959;169(13):1443-1446. doi:10.1001/jama.1959.03000300039008.
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In treating osteochondrosis of the capital epiphysis of the femur, it has been difficult to evaluate results and consequently difficult to compare the effectiveness of various methods. There is a need for more reliable measures of hip function and better criteria of results. Of 132 patients in the present series, 34 were treated with bed rest and traction, 31 with crutch and sling, and 25 with crutch and lift; 42 received inadequate treatment or none at all. The percentage of results classified as satisfactory or fair was highest (93%) in the group with bed rest and traction. This group included 10 of the 14 patients with both hips affected. The group inadequately treated had satisfactory or fair results in only 30% of cases. Treatment by means other than bed rest and traction is feasible only if the disease is unilateral and the patient cooperates.

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