[Ortho] Болезнь Пертеса

[Nuno Craveiro Lopes]

Ihor,

It is difficult to give an opinion with so little data on the case.

The age and injury, indicates a poor prognosis.
Our protocol for cases of similar age and extent of fragmentation phase (maximum of 2 years of evolution) is for a artrodiastase with Ilizarov apparatus as described in
https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnxzb3RoZ28xfGd4Ojc1ODA3NDhhODI2YWQ0NzM
and
https://docs.google.com/fileview?id=0B7buaa8WnIsNMWYyYzcyMDMtZjM4OC00ZjlkLTk4YTgtZGE0ZGUyYmU3ZDhk&hl=pt_PT

If you are already in early reconstruction without plasticity of the injury, we prefer an osteotomy valgisação, also made with aparelhoi Ilizarov, as described in
https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnxzb3RoZ28xfGd4OjYwZjU4YTMzNTExNDliMzc

Best regards,

-- 
Nuno Craveiro Lopes
President of Constitutive Comission
ICEF&BR (Ex ASAMI Int and WCEF)
Head of Orthopedic Department
Garcia de Orta Hospital, Almada, Portugal