BACKGROUND: @entity2444 ( @entity2444 ), in its severe form, remains a challenge. More recent classifications, particularly the modified Elizabethtown classification, have highlighted the chronologic stage of @entity2444 and its effect on surgical outcome. Hip severity and age of disease onset have also been shown to be powerful determinants of outcome. This study was performed to determine whether disease stage, disease severity, or @entity1 age, are absolute indicators of whether a @entity1 can benefit from surgical containment with @entity6629 ( @entity6629 ). METHODS: All @entity1 with @entity2444 treated with @entity6629 between 1995 and 2011 were collected. Only those @entity1 with a minimum of 2-year radiographic follow-up and no previous or concomitant femoral realignment surgery were included. Fifty-four @entity1 (56 hips) met our inclusion criteria. The modified Elizabethtown classification was used to classify disease stage as early (<IIb) or late (>= IIb). Catterall and lateral pillar classifications were used to classify disease severity, and the Stulberg classification was utilized for radiographic outcome, defined as good (I/II) or poor (III/IV/V). RESULTS: Fifty-one males and 3 females with a mean chronological age at surgery of 8.2  1.8 years were included (2 bilateral cases). Mean follow-up was 72.8  30.2 months. There was no significant difference in the proportion of Stulberg good versus poor outcomes when comparing hips that were graded as early or late stage (P=0.842), or Catterall I and II versus III and IV (P=0.304). Although not statistically significant, @entity1 with lateral pillars B and BC (P=0.076) and @entity1 who were aged 8.0 and younger trended toward doing better compared with lateral pillar C and over age 8.0 (P=0.085), respectively. CONCLUSIONS: Radiographic results demonstrate that good outcomes are not entirely dependent on the stage of disease in @entity2444 when containment is performed with @entity6629 . As expected, @entity6629 appears to be more effective in younger @entity1 with less severe disease. We conclude that even severely involved @entity2444 , independent of age, should be offered surgical containment. The failure rate in this group is higher, as expected, but many achieve good results and there are treatment methods available to those who fail containment. LEVEL OF EVIDENCE: Level IV.

Advanced Containment With Triple Innominate Osteotomy in XXXX : A Viable Option Even in Severe Cases.

@entity2444 :: ('MESH:D007873', 'Disease') :: ['LCPD hips', 'Legg-Calve-Perthes disease', 'LCPD'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity6629 :: ('MESH:C535318', 'Disease') :: ['TIO', 'triple innominate osteotomy']
@entity2444 :: (MESH:D007873,Disease) :: ['Legg-Calve-Perthes Disease']
