What is a Petrie cast?

Petrie casts are two long-leg casts with a bar that hold the legs spread apart in a position similar to the letter “A.” Your doctor will most likely apply the initial Petrie cast in an operating room in order to have access to specific equipment.

Is Perthes disease a disability?

Can I claim disability for Perthes disease? Just having the reassurance it would all be ok. Disability Living Allowance Once your child has been diagnosed with Perthes disease and your child is using crutches or a wheelchair, you are entitled to apply for Disability Living Allowance. …

Which is a better method for Perthes disease femoral varus or Salter osteotomy?

We think that the Salter innominate osteotomy is the better treatment for patients with Perthes’ disease to decrease residual problems such as coxa vara, trochanteric prominence, poor acetabular coverage, and the surgical scar.

What are the stages of Perthes disease?

The Perthes stages include: onset stage; fragmentation stage; reconstitution stage; residual stage. Each stage of Perthes disease has key indicators, which signifies the progression of the disease through the various stages.

How painful is Perthes?

What are the symptoms of Legg-Calve-Perthes disease? Children with Legg-Calve-Perthes disease often develop a noticeable limp. They may also experience stiffness of the hip or complain of mild pain in the groin area, thigh or knee. This pain is usually worse with activity and improves with rest.

Does Perthes disease in families?

Studies have also shown that children with parents who have the disease are more likely to get it. In fact, between 2 and 10 percent of children with Perthes disease have at least one family member with the disease.

Does Perthes disease affect knees?

Children with Perthes’ disease usually complain of pain in the groin, the thigh or the knee – particularly after physical activity. They limp and have a restricted range of movement (stiffness) of the hip joint. These symptoms may persist on and off for many months. The disease itself lasts for a few years.

What is the treatment for Perthes disease in children?

Some kids will have milder cases of Perthes that can be treated with activity restrictions, physical therapy and anti-inflammatory medication. Temporary bed rest or decreased weight bearing with a wheelchair or crutches can also be used to decrease the pressure on the hip and the hip joint irritation.

How is a tenotomy used for hip replacement surgery?

Cutting of a tight tendon in the groin, also known as a tenotomy, followed by placing two casts with a bar between them in the shape of an “A”, or Petrie casts, shown here, helps to increase hip joint mobility and decrease inflammation. In rare cases, cutting the bones to reposition the hip is utilized.

How is a Petrie cast placed for hip replacement?

Petrie casts are placed to hold the hip in this position. Osteotomy – femoral, pelvic, or both bones of the hip are cut surgically for re-orientation. This will allow the ball to be better covered by the socket. This may help the ball regrow into a more round in shape.

What is the recommended age for surgery for Perthes disease?

Age 8-11 at onset: operative treatment is recommended in severe cases (i.e. most of the femoral head is affected by Perthes). Conventional surgical treatments include femoral bone or pelvic bone surgery). Age over 11 at onset: conventional femoral or pelvic bone surgeries are not as effective in this age group compare to the younger patients.