Surgical Treatment
Our team is associated with the best treatment groups in the world.
We follow international protocols of action
A hip at risk in the early stages of the disease is a painful hip in young adults.
Don’t wait for more deformities and act early
In some cases, surgical correction can be need in order to:
- Keep the femoral head within the socket that contains it, ¨reduce the hip¨.
- Avoid irreversible deformities.
- Improve the natural spherical shape of the femoral head.
- To improve muscular strength
It is important to:
To choose the most opportune moment, that is to say the “best therapeutic window”.
Choose the best surgical technique
Contact a Perthes specialist as a second opinion.
Perthes Disease
Surgical Techniques
This is the most widely accepted osteotomy with proven results.
Surgery 1 hour
Hospitalization: 2 days
Anesthesia: General without intubation
Benefits: reduces the subluxated hip.
No plaster cast required.
Preoperative: link to the family school.
Postoperative: No plaster cast required, can support the leg from 4 weeks.
Indicated especially in patients older than 8 years old.
Surgery: 1 hour
Hospitalization: 2 days
Anesthesia: General without intubation
Benefits: avoids femoral head collapse.
Preoperative: link to the family school.
Postoperative: No plaster cast required, can support the leg from the 7th day.
- Simple technique.
- Surgery: 30 minutes.
- Hospitalization: no. 6h stay.
- Anesthesia: General without intubation
- Benefits: induces sphericity to the femoral head.
- No osteosynthesis material necessary
- Preoperative: link to the school of families
- Postoperative: Immediate support, no immobilization, early recovery.
- Percutaneous technique
- Surgery: 30 mins
- Hospitalization: no. 6h stay.
- Anesthesia: General without intubation
- Benefits: induces revascularization to the femoral head.
- Preoperative: link to the school of families
- Postoperative: immediate support, no immobilization, early recovery.
- Head reshaping.
- Surgery: 3 hours
- Hospitalization: 3 days
- Anesthesia: General with intubation
- Benefits: improves femoral head remodeling
- Pre-operative: link to family school
- Postoperative: No support of the operated leg. Longer recovery time.
We perform them very sporadically because they are more aggressive and generate worse final results.
Salter Osteotomy
Triple pelvis osteotomy
Periacetabular osteotomy
Valgus osteotomy
Shelf Osteotomy
- Adductor tenotomy
- Isolated hip capsulotomy