BACKGROUND: Standard treatments may provide adequate containment in mild to moderate @entity2444 ( @entity2444 ), but they can be problematic in more severe cases. The purpose of this study was to report the results of combined shelf acetabuloplasty with femoral @entity3192 in severe @entity2444 . METHODS: We reviewed 12 @entity1 who had undergone combined shelf acetabuloplasty with femoral @entity3192 . The indications for this type of operation were: (1) above 8 years of age at clinical onset; (2) massive femoral epiphysis involvement (Catterall group 4, lateral pillar C); (3) femoral head lateral subluxation on the anteroposterior radiograph; and (4) impending hinged abduction on preoperative magnetic resonance imaging or arthrography. The mean age was 9.3 years (range, 8 to 10.8 years). The @entity1 were clinically evaluated with Iowa hip score and @entity3656 at the final follow-up. Radiographic outcome was assessed using the Stulberg classification to evaluate femoral head sphericity. The presence of @entity571 was evaluated by the Tonnis classification. Correlation analysis was conducted to analyze the preoperative factors that were strongly associated with @entity1 ' outcomes. RESULTS: The mean follow-up period was 10.1 years (range, 7.1 to 13.2 years). Functional grade was excellent in all @entity1 at last follow-up (mean, 92; range, 82 to 99). The mean @entity3656 after skeletal maturity was 0.9 cm (range, 0 to 1.7 cm). There were no significant complications or need for additional surgery. Radiographically, 92% of @entity1 reached satisfactory outcomes: Stulberg grade I, 0 cases; Stulberg grade II, 4 cases (34%); Stulberg III, 7 cases (58%), Stulberg IV, 1 case (8%); and Stulberg V, 0 cases. There was no @entity571 by Tonnis classification. CONCLUSIONS: The surgical outcomes for combined shelf acetabuloplasty with femoral @entity3192 in severe @entity2444 @entity1 over 8 years old are comparable with other advanced surgical methods. In the cases of severe disease that match our inclusion criteria, our containment method could be another treatment option.

Outcomes of Combined Shelf Acetabuloplasty with Femoral Varus Osteotomy in Severe @entity2444 : Advanced Containment Method for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3656 :: ('MESH:D007870', 'Disease') :: ['leg length discrepancy'] @entity571 :: ('MESH:D010003', 'Disease') :: ['osteoarthritis'] @entity3192 :: ('MESH:D060905', 'Disease') :: ['varus osteotomy'] @entity2444 :: ('MESH:D007873', 'Disease') :: ['Legg-Calve-Perthes disease', 'LCPD']
@entity2444 :: (MESH:D007873,Disease) :: ['Severe LCP Disease']
