The effects of trochanteric epiphyseodesis on growth of the proximal end of the femur following necrosis of the capital femoral epiphysis
Gage, J.R.; Cary, J.M.
Journal of Bone and Joint Surgery. American Volume 62(5): 785-794
1980
ISSN/ISBN: 0021-9355 PMID: 7391102 Document Number: 164314
Avascular necrosis of the hip was evaluated in 2 groups of patients. One group had sustained the insult to the epiphysis in infancy and had a mean growth loss in the proximal end of the femur of 21.5 mm at a mean age of 11.7 yr. The other group had sustained the insult in mid-childhood (due to Legg-Perthes disease) and had a mean growth loss of 7 mm at 12.4 yr. Trochanteric epiphyseodesis was needed to prevent relative trochanteric overgrowth in the former group, but it was not necessary in the latter group.