Case Report
Year: 2020 | Month: September | Volume: 10 | Issue: 9 | Pages: 388-392
Orthotic Management of Legg- Calvé-Perthes Disease in a Rare Socio-Economic Condition: A Clinical Case Report
Bapina Kumar Rout1, Jaishankar L2, Brightex Jacob3
1Master in Prosthetics and Orthotics, Assistant Professor, ISHWAR Institute of Prosthetics and Orthotics,
AA-23, 3rd street, 3rd main road, Annanagar, Chennai-600040
2Bachelor in Prosthetics and Orthotics, Final year student, ISHWAR Institute of Prosthetics and Orthotics, Chennai
AA-23, 3rd street, 3rd main road, Annanagar, Chennai-600040
3Bachelor in Prosthetics and Orthotics, Regional Manager, Southern region, Endolite India Limited, Chennai
AA-23, 3rd street, 3rd main road, Annanagar, Chennai-600040
Corresponding Author: Bapina Kumar Rout
ABSTRACT
Background: Although the orthotic treatment of Perthes disease has mixed evidences, still it remains as the mainstay of conservative management in economically developing countries, where expensive surgical procedure and availability of a skilled surgeon are tangible limitations. Nowadays the increasing cost of functionally good orthotic devices also further complicates the rehabilitation process.
Objective: Thus the aim of this study was to design an orthotic hip joint for Legg-Calvé-Perthes disease that would be functionally effective and affordable.
Study design: Case report
Methods: Subject reported was a 10 year old male child with a Waldenstrom grade –I right hip Perthes disease and belonged to low socio economic background. A Hip abduction orthosis with two planes of hip ROM adjustment was designed by the clinical team and the subject was followed prospectively for next 4 years using the orthosis.
Discussion: The socio economic condition of the subject triggered for a conservative management in the form of a newly designed hip abduction orthosis. Affected hip was maintained in 30 degree of abduction, 15 degree of internal rotation and 10 degree of hip flexion. Knee ROM was not restricted and the results were overwhelming with Stulberg grade II hip joint at the age of 14.
Key words: Legg Calve Perthes disease, LCPD, Hip Abduction Orthosis, Legg-Calve Perthes disease conservative treatment