A 10-year-old male patient with Legg–Calve–Perthes disease of the left hip presented with progressive pain in the left hip of 6 months duration. The pain was exacerbated by daily life activity. Physical examination showed positive antalgic gait. Range of motion of the hip joint was limited, particularly flexion, abduction, and internal rotation. Plain radiographs showed lateral pillar type C.\nHe had an external fixator for 3 months. His Hip pain was improved from 7 to 1 point on the NRS at the final follow up. Moreover, the involved hip joint’s range of motion in flexion, internal rotation, and abduction was also improved compared with the preoperative values. On the radiological evaluation, the sphericity deviation score, epiphyseal index, and the cervical index were all improved at the final follow up (-).
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. (-)