Arthrodiastasis in the Management of Perthes’ Disease

Abstract

Introduction: This systematic review explores the relevant literature to assess the efficacy of the use of arthrodiastasis in the management of Perthes disease. Until this moment, arthrodiastasis is not well established for its use in Perthes disease as opposed to other containment procedures. Furthermore, there are no clear indications for its use in this disease. Methodology: 12 articles were matched to the inclusion criteria and all articles were reviewed and radiological and clinical data was collected and compiled. Results: a significant increase in postoperative range of motion compared to the preoperative ones was found. Final Stulberg classification was ascertained showing majority of patients ending with stages two and three. Complications were also assessed with majority of them being superficial pin tract infections. Conclusion: the use of arthrodiastasis is a valid treatment option for Perthes disease however more articles need to be produced showing comparative data of arthrodiastasis versus other containment procedures.