Restoring Functionality in Severe Hip Deformities

This case study presents a specialized surgical intervention for an 18-year-old female patient suffering from severe hip pain and impingement due to unilateral Legg-Calvé-Perthes disease (LCPD). The report details the surgical approach, which included hip dislocation, mosaicplasty with autografts, femoral head-neck osteochondroplasty, and labral repair. The study outlines the patient's preoperative condition, characterized by significant intra- and extra-articular impingement and a Harris Hip Score of 62, indicating moderate impairment. Post-surgery, the patient showed marked improvements in pain levels and hip functionality, with the Harris Hip Score increasing to 76 at two years postoperatively. Radiographic evaluations confirmed the restoration of joint congruence and femoral head sphericity. The findings underscore the effectiveness of tailored surgical techniques in managing complex residual deformities associated with LCPD, highlighting the importance of individualized treatment plans to enhance patient outcomes and preserve long-term joint health.