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 right hip. He presented with moderate right-sided hip pain and antalgic gait of 3 months duration. The pain led to restriction of daily life activities. There were no associated constitutional symptoms. A painful limited range of motion of his hip was clear on examination. The knee exam was normal. Plain radiographs showed lateral pillar type C. The patient underwent same index procedure, where the external fixator kept for 3.5 months. No intraoperative complications were observed. Postoperative protocol was followed smoothly. At the final follow up, he showed improvement in all physical and radiological parameters. (-)