{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:13:01Z","timestamp":1777975981550,"version":"3.51.4"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4die"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1007\/s00132-026-04800-5","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T15:20:00Z","timestamp":1774452000000},"page":"369-378","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Femurkopfosteotomie bei komplexer Deformit\u00e4t nach Morbus Perthes","Femoral head osteotomy for complex deformity after Legg-Calv\u00e9-Perthes disease"],"prefix":"10.1007","volume":"55","author":[{"given":"Michael","family":"Leunig","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reinhold","family":"Ganz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"4800_CR1","doi-asserted-by":"publisher","DOI":"10.5301\/hipint.5000063","author":"R Ganz","year":"2013","unstructured":"Ganz\u00a0R, Slongo\u00a0Th, Turchetto\u00a0L, Mass\u00e8\u00a0A, Whitehead\u00a0D, Leunig\u00a0M (2013) The lesser trochanter as a cause of hip impingement. Pathophysiology and treatment options. Hip Int. https:\/\/doi.org\/10.5301\/hipint.5000063","journal-title":"Hip Int"},{"key":"4800_CR2","doi-asserted-by":"publisher","first-page":"S61","DOI":"10.5301\/hipint.5000071","volume":"23","author":"M Tannast","year":"2013","unstructured":"Tannast\u00a0M, Macintyre\u00a0N, Steppacher\u00a0SD, Hosalkar\u00a0HS, Ganz\u00a0R, Siebenrock\u00a0KA (2013) A systematic approach to analyse the sequelae of LCPD. Hip Int 23:S61\u2013S70","journal-title":"Hip Int"},{"key":"4800_CR3","doi-asserted-by":"publisher","first-page":"e618","DOI":"10.1097\/BPO.0000000000002706","volume":"44","author":"KJ Orellana","year":"2024","unstructured":"Orellana\u00a0KJ, Bram\u00a0JT, Batley\u00a0M, Novotny\u00a0S, Shah\u00a0H, Laine\u00a0JC, Kelly\u00a0DM, Martin\u00a0B, Schrader\u00a0T, Kim\u00a0H, Sankar\u00a0WN, International Perthes study group (2024) Predictors of persistent limp following proximal femoral varus osteotomy for Perthes disease. J\u00a0Pediatr Orthop 44:e618\u2013e624","journal-title":"J Pediatr Orthop"},{"key":"4800_CR4","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1097\/BPO.0b013e3181653b13","volume":"28","author":"GJ Myers","year":"2008","unstructured":"Myers\u00a0GJ, Mathur\u00a0K, O\u2019Hara\u00a0J (2008) Valgus osteotomy: a\u00a0solution for late presentation of hinge abduction in Legg-Calv\u00e9-Perthes disease. J\u00a0Pediatr Orthop 28:169\u2013172","journal-title":"J Pediatr Orthop"},{"key":"4800_CR5","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1097\/BPO.0b013e3181f5a0de","volume":"30","author":"DR Wenger","year":"2010","unstructured":"Wenger\u00a0DR, Pring\u00a0ME, Hosalkar\u00a0HS, Caltoum\u00a0CB, Lalonde\u00a0FD, Bastrom\u00a0TP (2010) Advanced containment methods for Legg-Calv\u00e9-Perthes disease: results of triple pelvic osteotomy. J\u00a0Pediatr Orthop 30:749\u2013757","journal-title":"J Pediatr Orthop"},{"issue":"6 Supple B","key":"4800_CR6","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1302\/0301-620X.107B6.BJJ-2024-1009.R2","volume":"107-B","author":"P Rego","year":"2025","unstructured":"Rego\u00a0P, Mafra\u00a0I, Viegas\u00a0R, Oliveira\u00a0F, Pinto\u00a0P, Ganz\u00a0R (2025) Femoral head reduction osteotomy approach for severe proximal femur deformities: surgical technique and minimum 2\u2011year results. Bone Joint\u00a0J 107-B(6 Supple B):76\u201383","journal-title":"Bone Joint J"},{"key":"4800_CR7","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1302\/0301-620X.47B3.560","volume":"47-B","author":"S Sevitt","year":"1965","unstructured":"Sevitt\u00a0S, Thompson\u00a0RG (1965) The distribution and anastomoses of arteries supplying the head and neck of the femur. J\u00a0Bone Joint Surg Br 47-B:560\u2013573","journal-title":"J Bone Joint Surg Br"},{"issue":"B","key":"4800_CR8","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1302\/0301-620X.82B5.0820679","volume":"82","author":"E Gautier","year":"2000","unstructured":"Gautier\u00a0E, Ganz\u00a0K, Kr\u00fcgel\u00a0N, Gill\u00a0T, Ganz\u00a0R (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. J\u00a0Bone Joint Surg Br 82(B):679\u2013683","journal-title":"J Bone Joint Surg Br"},{"key":"4800_CR9","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1302\/0301-620X.84B2.0840300","volume":"84","author":"HP N\u00f6tzli","year":"2002","unstructured":"N\u00f6tzli\u00a0HP, Siebenrock\u00a0KA, Hempfing\u00a0A, Ramseier\u00a0LE, Ganz\u00a0R (2002) Perfusion of the femoral head during surgical dislocation of the hip. Monitoring by laser Doppler flowmetry. J\u00a0Bone Joint Surg Br 84:300\u2013304","journal-title":"J Bone Joint Surg Br"},{"key":"4800_CR10","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1302\/0301-620X.83B8.0831119","volume":"83","author":"R Ganz","year":"2001","unstructured":"Ganz\u00a0R, Gill\u00a0TJ, Gautier\u00a0E, Ganz\u00a0K, Kr\u00fcgel\u00a0N, Berlemann\u00a0U (2001) Surgical dislocation of the adult hip a\u00a0technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J\u00a0Bone Joint Surg Br 83:1119\u20131124","journal-title":"J Bone Joint Surg Br"},{"key":"4800_CR11","first-page":"241","volume":"58","author":"R Ganz","year":"2009","unstructured":"Ganz\u00a0R, Huff\u00a0TW, Leunig\u00a0M (2009) Extended retinacular soft tissue flap for intraarticular hip surgery: surgical technique, indications, and results of its application. Instr Course Lect 58:241\u2013255","journal-title":"Instr Course Lect"},{"key":"4800_CR12","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1302\/0301-620X.71B5.2584244","volume":"71","author":"B Joseph","year":"1989","unstructured":"Joseph\u00a0B (1989) Morphological changes in the acetabulum in Perthes disease. J\u00a0Bone Joint Surg Br 71:756\u2013763","journal-title":"J Bone Joint Surg Br"},{"key":"4800_CR13","doi-asserted-by":"publisher","first-page":"409","DOI":"10.2106\/JBJS.G.01679","volume":"91","author":"M Kalhor","year":"2009","unstructured":"Kalhor\u00a0M, Beck\u00a0M, Huff\u00a0TW, Ganz\u00a0R (2009) Capsular and pericapsular contributions to acetabular and femoral head perfusion. J\u00a0Bone Joint Surg Am 91:409\u2013418","journal-title":"J Bone Joint Surg Am"},{"key":"4800_CR14","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s00276-003-0149-3","volume":"25","author":"M Beck","year":"2003","unstructured":"Beck\u00a0M, Leunig\u00a0M, Ellis\u00a0T, Sledge\u00a0JB, Ganz\u00a0R (2003) The acetabular blood supply: Implications for periacetabular osteotomy. Surg Radiol Anat 25:361\u2013367","journal-title":"Surg Radiol Anat"},{"key":"4800_CR15","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1016\/S0736-0266(03)00083-4","volume":"21","author":"A Hempfing","year":"2003","unstructured":"Hempfing\u00a0A, Leunig\u00a0M, N\u00f6tzli\u00a0HP, Beck\u00a0M, Ganz\u00a0R (2003) Acetabular blood flow during Bernese periacetabular osteotomy: an intraoperative study using laser Doppler flowmetry. J\u00a0Orthop Res 21:1145\u20131150","journal-title":"J Orthop Res"},{"key":"4800_CR16","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03789-y","volume":"21","author":"P F\u00fcrnstahl","year":"2020","unstructured":"F\u00fcrnstahl\u00a0P, Casari\u00a0FA, Ackermann\u00a0J, Marcon\u00a0M, Leunig\u00a0M, Ganz\u00a0R (2020) Computer assisted femoral head reduction osteotomies: an approach for anatomic reduction of severely deformend Legg-Calv\u00e9-Perthes hips. A pilot study of six patients. BMC Musculoskelet Disord 21:759. https:\/\/doi.org\/10.1186\/s12891-020-03789-y","journal-title":"BMC Musculoskelet Disord"},{"issue":"Suppl 1","key":"4800_CR17","first-page":"62","volume":"69","author":"M Leunig","year":"2011","unstructured":"Leunig\u00a0M, Ganz\u00a0R (2011) Relative Neck Lengthening and Intracapital Osteotomy for Morbus Perthes and Perthes-like Deformities. Bulletin of the NYU Hospital for Joint Diseases 69(Suppl 1):62\u201367","journal-title":"Bulletin of the NYU Hospital for Joint Diseases"},{"key":"4800_CR18","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1016\/j.ocl.2011.04.006","volume":"42","author":"D Paley","year":"2011","unstructured":"Paley\u00a0D (2011) The treatment of femoral head deformity and coxa magna with the Ganz femoral head reduction osteotomy. Orthop Clin North Am 42:389","journal-title":"Orthop Clin North Am"},{"key":"4800_CR19","first-page":"203","volume-title":"Surgical Hip Dislocation. A Comprehensive Approach to Modern Hip Surgery","author":"DJ Succato","year":"2025","unstructured":"Succato\u00a0DJ, Collado Gastalver\u00a0D, Ganz\u00a0R (2025) Intra-Capital Osteotomy. In: Leunig\u00a0M et\u00a0al (ed) Surgical Hip Dislocation. A Comprehensive Approach to Modern Hip Surgery. Springer, pp\u00a0203\u2013211"},{"issue":"Suppl. 1","key":"4800_CR20","doi-asserted-by":"publisher","first-page":"i16","DOI":"10.1093\/jhps\/hnab019","volume":"8","author":"F Randelli","year":"2021","unstructured":"Randelli\u00a0F, Papavasiliou\u00a0A, Mazzoleni\u00a0MG, Fioruzzi\u00a0A, Basile\u00a0G, Ganz\u00a0R (2021) Femoral head necrosis and progressive osteoarthritis of a healed intracapital osteotomy in severe sequelae of Legg\u2013Calve\u00b4\u2013Perthes disease with aplasia of tensor fasciae latae. Journal of Hip Preservation Surgery 8(Suppl. 1):i16\u2013i24. https:\/\/doi.org\/10.1093\/jhps\/hnab019","journal-title":"Journal of Hip Preservation Surgery"},{"key":"4800_CR21","doi-asserted-by":"publisher","first-page":"1274","DOI":"10.1007\/s11999-014-4048-1","volume":"473","author":"KA Siebenrock","year":"2015","unstructured":"Siebenrock\u00a0KA, Anwander\u00a0H, Zurm\u00fchle\u00a0CA, Tannast\u00a0M, Slongo\u00a0T, Steppacher\u00a0SD (2015) Head reduction osteotomy with additional containment surgery improves sphericity and containment and reduces pain in Legg-Calv\u00e9-Perthes disease. Clin Orthop Relat Res 473:1274\u20131283","journal-title":"Clin Orthop Relat Res"},{"key":"4800_CR22","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.1302\/0301-620X.100B12.BJJ-2018-0030.R3","volume":"100-B","author":"JC Clohisy","year":"2018","unstructured":"Clohisy\u00a0JC, Pascual-Garrido\u00a0C, Duncan\u00a0S, Pashos\u00a0G, Schoenecker\u00a0PL (2018) Concurrent femoral head reduction and periacetabular osteotomies for the treatment of severe femoral head deformities. Bone Joint\u00a0J 100-B:1551\u20131558","journal-title":"Bone Joint J"},{"key":"4800_CR23","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03351-7","volume":"17","author":"K Gharanizadeh","year":"2022","unstructured":"Gharanizadeh\u00a0K, Ravanbod\u00a0H, Aminian\u00a0A, Mirghaderi\u00a0SP (2022) Simultaneous femoral head reduction osteotomy (FHRO) combined with periacetabular osteotomy (PAO) for the treatment of severe femoral head asphericity in Perthes disease. J\u00a0Orthop Surg Res 17:461. https:\/\/doi.org\/10.1186\/s13018-022-03351-7","journal-title":"J Orthop Surg Res"},{"key":"4800_CR24","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1097\/BPB.0000000000001109","volume":"33","author":"HH Eltayeby","year":"2024","unstructured":"Eltayeby\u00a0HH, El-Adwar\u00a0KL, Ahmed\u00a0AA, Mosa\u00a0MM, Standard\u00a0SC (2024) Femoral head reduction osteotomy for the treatment of late sequela of Legg-Calv\u00e9-Perthes disease and Perthes-like femoral head deformities. J\u00a0Pediatr Orthop\u00a0B 33:348\u2013357","journal-title":"J Pediatr Orthop B"},{"issue":"5 Supple B","key":"4800_CR25","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1302\/0301-620X.106B5.BJJ-2023-0853.R1","volume":"106-B","author":"A Mass\u00e8","year":"2024","unstructured":"Mass\u00e8\u00a0A, Giachino\u00a0M, Audisio\u00a0A, Donis\u00a0A, Giai Via\u00a0R, Secco\u00a0DC, Limone\u00a0B, Turchetto\u00a0L, Aprato\u00a0A (2024) Ganz femoral head reduction osteotomy associated with coverage and containment procedures improve radiological and functional outcomes in Perthes\u2019 disease. Bone Joint\u00a0J 106-B(5 Supple B):40\u201346","journal-title":"Bone Joint J"},{"key":"4800_CR26","doi-asserted-by":"publisher","first-page":"2957","DOI":"10.1007\/s11999-012-2444-y","volume":"470","author":"R Ganz","year":"2012","unstructured":"Ganz\u00a0R, Turchetto\u00a0L, Siebenrock\u00a0KA, Slongo\u00a0Th, Leunig\u00a0M (2012) The Capsular Arthroplasty: An Efficient but abandoned procedure for young patients with DDH. Clin Orthop Relat Res 470:2957\u20132967","journal-title":"Clin Orthop Relat Res"},{"issue":"6 Supple B","key":"4800_CR27","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1302\/2633-1462.66.BJO-2024-0204.R1","volume":"6","author":"R Ganz","year":"2025","unstructured":"Ganz\u00a0R, Bl\u00fcmel\u00a0S, Schleicher\u00a0A, Oettl\u00a0F, Stadelmann\u00a0VA, Leunig\u00a0M (2025) Radiological results of the Bernese periacetabular osteotomy performed before closure of the triradiate cartilage. Bone Joint Open 6(6 Supple B):24\u201332","journal-title":"Bone Joint Open"},{"issue":"9","key":"4800_CR28","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1302\/2633-1462.39.BJO-2022-0100.R1","volume":"3","author":"S Bl\u00fcmel","year":"2022","unstructured":"Bl\u00fcmel\u00a0S, Leunig\u00a0M, Manner\u00a0H, Tannast\u00a0M, Stetzelberger\u00a0V, Ganz\u00a0R (2022) Perthes-like necrosis in young female gymnasts \u2013 a pursuit of etiology and therapy. Bone Jt Open 3(9):666\u2013667","journal-title":"Bone Jt Open"},{"key":"4800_CR29","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1007\/s11999-008-0141-7","volume":"466","author":"SD Steppacher","year":"2008","unstructured":"Steppacher\u00a0SD, Tannast\u00a0M, Werlen\u00a0S, Siebenrock\u00a0KA (2008) Femoral morphology differs between deficient and excessive coverage. Clin Orthop Relat Res 466:782\u2013790","journal-title":"Clin Orthop Relat Res"},{"key":"4800_CR30","doi-asserted-by":"crossref","unstructured":"Atmodiwirjo\u00a0P, Ramadan\u00a0MR, Wicaksana\u00a0A, Djohan\u00a0M, Amanda\u00a0NF, Ralena\u00a0NA, Dilogo\u00a0IH, Priambodo\u00a0PS, Werdhani\u00a0RA, Yunir\u00a0E, Rachmadi\u00a0L, Harahap\u00a0AR, Yusuf\u00a0PA, Hasibuan\u00a0L, Mito\u00a0D (2024) Diluted Indocyanine Green Angiography: A\u00a0Novel Approach to Free Flap Perfusion Evaluation in Reconstructive Microsurgery. Plast Reconstr Surg Open 12(11):e6280","DOI":"10.1097\/GOX.0000000000006280"}],"container-title":["Die Orthop\u00e4die"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00132-026-04800-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00132-026-04800-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00132-026-04800-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T09:37:09Z","timestamp":1777973829000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00132-026-04800-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,25]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["4800"],"URL":"https:\/\/doi.org\/10.1007\/s00132-026-04800-5","relation":{},"ISSN":["2731-7145","2731-7153"],"issn-type":[{"value":"2731-7145","type":"print"},{"value":"2731-7153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,25]]},"assertion":[{"value":"26 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"M.\u00a0Leunig und R.\u00a0Ganz geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}