Radiological evaluation of surgical treatment in Perthes' disease

We compared the late radiographic results of femoral head coverage in two u nselected groups of patients with Perthes' disease, one treated conservativ ely and one with surgical containment. Forty-eight hips were treated surgic ally and 28 hips were managed conservatively. The preoperative radiographs were classified using both the Salter and Herring classifications. We found no significant difference in femoral head coverage between the groups. How ever, there was a trend towards a better femoral head coverage following su rgical containment of Salter type B and Herring type II and III hips. The a uthors conclude that surgical containment may offer a better prognosis for patients with the more severely affected hips.