A 7-year-old-male child with Legg–Calve–Perthes disease of the left hip. He presented with complaint of pain in the left hip of 1-month duration. The pain was severe that restricted the child activity. It was associated with limping that forced him to use crutches. The patient received oral analgesics to relieve the pain with partial response. No fever or constitutional symptoms were observed.\nOn physical examination, flexion, abduction, and internal rotation of the hip joint were limited. Pelvis radiographs showed lateral pillar type C. The patient underwent same index procedure, where the external fixator was applied for 3.5 months. Postoperative protocol was followed smoothly. At the final follow up, he showed improvement in all physical and radiological parameters. (-)
A 10-year-old- child with left hip Legg–Calve–Perthes disease. He presented with pain in the left hip of 2 months duration. It was increasing progressively that badly affected his daily life activities. Oral analgesics improved the pain temporarily. He showed antalgic gait on physical examination. In addition to that, limited hip motion, particularly flexion, abduction, and internal rotation. Pelvis X-ray showed lateral pillar type C. The patient underwent same index procedure. His external device was removed after 2.5 months of application. He followed the same postoperative protocol. Two months postoperatively, the patient developed pin tract infection involving mainly the supraacetabular screw group. He was managed with empirical oral antibiotics but did not respond well. A decision was made to remove the fixator and to debride the wound tracts and to keep him on intravenous antibiotics. Five days after fixator removal, he showed clinical improvement and discharged. Postoperative protocol was followed then smoothly. All physical and radiological parameters had been improved at the final follow up. (-)