Background: Perthes disease is a pediatric hip disorder characterized by avascular necrosis of the femoral head, with late presentation (after age seven) often associated with poor prognosis and controversy over optimal management. This study aims to assess the functional outcomes of varus derotation osteotomy (VDRO) in children with late-presenting Perthes disease. Aim of the study: The aim of the study was to evaluate the functional outcomes of Varus Derotation Osteotomy (VDRO) in paediatric patients with late-presenting Perthes disease. Methods: This prospective study at the Department of Orthopaedics, Sylhet MAG Osmani Medical College Hospital (2023-24) evaluated VDRO in 14 children (8-12 years) with unilateral Perthes (Herring B/C). Patients underwent subtrochanteric osteotomy (15-20° varus correction, DCP fixation) followed by 6-week spica casting. Functional outcomes were assessed using Harris Hip Score over 6 months. Data were analyzed using SPSS v25. Results: This study included 14 paediatric patients with late-presenting Perthes disease treated by VDRO. Most were aged 8–10 years (64.29%) and male (71.00%), with right-side involvement in 57.14%. Based on the modified Elizabethtown classification, Stage I B was most common, and 57.14% were classified as Herring’s Group B. Postoperatively, 57.14% had excellent to good outcomes per Harris Hip Score, while complications were minimal, with hypertrophic scar being the most frequent. Conclusion: VDRO is an effective treatment for late-presenting LCPD in adolescents, yielding favorable functional outcomes and manageable complications.
| Published in | American Journal of Health Research (Volume 13, Issue 3) |
| DOI | 10.11648/j.ajhr.20251303.13 |
| Page(s) | 145-150 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
LCPD, VDRO, Harris Hip Score, Modified Elizabethtown CLASSIFICATION, Herrings Classification
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APA Style
Asaduzzaman, M., Alam, Q. S. (2025). Study on Functional Outcome of VDRO in Late-Presenting Perthes Disease in Paediatric. American Journal of Health Research, 13(3), 145-150. https://doi.org/10.11648/j.ajhr.20251303.13
ACS Style
Asaduzzaman, M.; Alam, Q. S. Study on Functional Outcome of VDRO in Late-Presenting Perthes Disease in Paediatric. Am. J. Health Res. 2025, 13(3), 145-150. doi: 10.11648/j.ajhr.20251303.13
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Download@article{10.11648/j.ajhr.20251303.13,
author = {Mohammad Asaduzzaman and Quazi Shahid-ul Alam},
title = {Study on Functional Outcome of VDRO in Late-Presenting Perthes Disease in Paediatric
},
journal = {American Journal of Health Research},
volume = {13},
number = {3},
pages = {145-150},
doi = {10.11648/j.ajhr.20251303.13},
url = {https://doi.org/10.11648/j.ajhr.20251303.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20251303.13},
abstract = {Background: Perthes disease is a pediatric hip disorder characterized by avascular necrosis of the femoral head, with late presentation (after age seven) often associated with poor prognosis and controversy over optimal management. This study aims to assess the functional outcomes of varus derotation osteotomy (VDRO) in children with late-presenting Perthes disease. Aim of the study: The aim of the study was to evaluate the functional outcomes of Varus Derotation Osteotomy (VDRO) in paediatric patients with late-presenting Perthes disease. Methods: This prospective study at the Department of Orthopaedics, Sylhet MAG Osmani Medical College Hospital (2023-24) evaluated VDRO in 14 children (8-12 years) with unilateral Perthes (Herring B/C). Patients underwent subtrochanteric osteotomy (15-20° varus correction, DCP fixation) followed by 6-week spica casting. Functional outcomes were assessed using Harris Hip Score over 6 months. Data were analyzed using SPSS v25. Results: This study included 14 paediatric patients with late-presenting Perthes disease treated by VDRO. Most were aged 8–10 years (64.29%) and male (71.00%), with right-side involvement in 57.14%. Based on the modified Elizabethtown classification, Stage I B was most common, and 57.14% were classified as Herring’s Group B. Postoperatively, 57.14% had excellent to good outcomes per Harris Hip Score, while complications were minimal, with hypertrophic scar being the most frequent. Conclusion: VDRO is an effective treatment for late-presenting LCPD in adolescents, yielding favorable functional outcomes and manageable complications.
},
year = {2025}
}
TY - JOUR T1 - Study on Functional Outcome of VDRO in Late-Presenting Perthes Disease in Paediatric AU - Mohammad Asaduzzaman AU - Quazi Shahid-ul Alam Y1 - 2025/06/06 PY - 2025 N1 - https://doi.org/10.11648/j.ajhr.20251303.13 DO - 10.11648/j.ajhr.20251303.13 T2 - American Journal of Health Research JF - American Journal of Health Research JO - American Journal of Health Research SP - 145 EP - 150 PB - Science Publishing Group SN - 2330-8796 UR - https://doi.org/10.11648/j.ajhr.20251303.13 AB - Background: Perthes disease is a pediatric hip disorder characterized by avascular necrosis of the femoral head, with late presentation (after age seven) often associated with poor prognosis and controversy over optimal management. This study aims to assess the functional outcomes of varus derotation osteotomy (VDRO) in children with late-presenting Perthes disease. Aim of the study: The aim of the study was to evaluate the functional outcomes of Varus Derotation Osteotomy (VDRO) in paediatric patients with late-presenting Perthes disease. Methods: This prospective study at the Department of Orthopaedics, Sylhet MAG Osmani Medical College Hospital (2023-24) evaluated VDRO in 14 children (8-12 years) with unilateral Perthes (Herring B/C). Patients underwent subtrochanteric osteotomy (15-20° varus correction, DCP fixation) followed by 6-week spica casting. Functional outcomes were assessed using Harris Hip Score over 6 months. Data were analyzed using SPSS v25. Results: This study included 14 paediatric patients with late-presenting Perthes disease treated by VDRO. Most were aged 8–10 years (64.29%) and male (71.00%), with right-side involvement in 57.14%. Based on the modified Elizabethtown classification, Stage I B was most common, and 57.14% were classified as Herring’s Group B. Postoperatively, 57.14% had excellent to good outcomes per Harris Hip Score, while complications were minimal, with hypertrophic scar being the most frequent. Conclusion: VDRO is an effective treatment for late-presenting LCPD in adolescents, yielding favorable functional outcomes and manageable complications. VL - 13 IS - 3 ER -
Paediatric Orthopaedic Surgery, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh
Pediatric Orthopaedic Surgery, Sir Salimullah Medical College, Dhaka, Bangladesh
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