A 9-year-old-male child with Legg–Calve–Perthes disease of the right hip presented with right sided hip pain and antalgic gait of 4 months duration. The pain led restriction of daily life activities. There were no associated constitutional symptoms. He had a painful limited range of motion of his hip on physical examination. Plain radiographs showed lateral pillar type C. The patient underwent same index procedure. The external fixation device was maintained for 3 months. No intraoperative complications were encountered. Postoperative protocol was followed smoothly. The postoperative course was uneventful. After removal of the external fixator, the patient showed improvement in the pain score and had a mild Trendelenburg gait. He had also improved range of motion of the involved hip joint. Radiologically, all scores that were tested, were improved at the final follow up. (-) and .
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. (-)