Perthes

Issues

 

Femur

 

Multiplanar deformity

- worsend by previous surgery

- may require osteotomy

 

Acetabulum

 

Dysplasia often present

- not as severe as in DDH

 

LLD

 

Can be significant

 

Abductors

 

Have been short for long time

- difficult to restore length

- may require trochanteric slide

 

Perthes OA previous osteotomyPerthes THR

 

 

Bilateral Severe Perthes Hip OABilateral Perthes THR