Legge-Calve-Perthes Disease

Alternate Names : LCPD

What are the treatments for the disease?

The goal of treatment is to prevent arthritis. This is done by protecting the femoral head during the healing process, which takes many months. During this time, the femoral head must be secure within the socket of the hip joint. Some controversy surrounds treatment recommendations.

Initially, rest and restricted weight bearing can improve the comfort in the hip. This minimal treatment may be sufficient for a child under the age of 5 or 6. Similar treatment may be appropriate for an older child when there is no involvement of the weight-bearing part of the femoral head. Before any other treatment is started, motion of the hip is regained through gentle range-of-motion exercises.

When the hip is more involved in an older child, bracing of the joint may be recommended. An operation may be needed to reposition the bones within the joint. In rare cases when severe arthritis develops, a hip fusion operation may be required. This involves joining the bone of the joint together solidly. A hip joint replacement may become necessary in an older adult.

What are the side effects of the treatments?

Surgery may cause bleeding, infection, or allergic reaction to anesthesia.

What happens after treatment for the disease?

If full recovery occurs, a person can generally go back to normal activities. If symptoms continue, further treatment may be required.

How is the disease monitored?

Any new or worsening symptoms should be reported to the healthcare provider.