Management of Late Onset Perthes: Evaluation of Distraction by External Fixator—5-Year Follow-Up

Figure 1

A 10.2-year-old female patient with Perthes’ disease for the last eight months. (a) Managed with hinged monolateral external fixator, showing increased sclerosis of epiphysis with maintaining the epiphyseal height (b). At 1-year follow-up further collapse of epiphysis with osteolysis (c) was evident, which was resolved by last follow-up at 33.4 months with improved epiphyseal index (d).

(a)

(b)

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(d)