{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:26:45Z","timestamp":1777498005661,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T00:00:00Z","timestamp":1172707200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of the study was to find out whether or not there is consensus among experienced pediatric orthopaedists about the management of certain clinical scenarios in Legg-Calv\u00e9-Perthes\u2019 disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A questionnaire was sent to all 297 members of the European Paediatric Orthopaedic Society (EPOS) describing four cases of Legg-Calv\u00e9-Perthes\u2019 disease (LCPD) with two X-rays each and a short description of the clinical scenario. Two of the patients were younger and two were older than six years of age. From both age groups there was one with a good range of motion and an X-ray classified as Herring A or B, while the other patient had a poor range of motion and an X-ray classified as Herring C. EPO members were asked to choose from various treatment options or to describe any other therapy that they would advise in the clinical scenarios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One-hundred and fifty members answered the questionnaire. The participants had an average of 20 years of experience in pediatric orthopaedics. There was a consensus that no surgery should be performed in a young patient with a good range of motion and that there should be no weight relief when older with a good range of motion. Conservative containment treatment (abduction splint, Petrie cast) and arthrodiastasis was suggested in only very few centres. There was a tendency to perform \u2022 an operation when the patient is older with a poor range of motion and to perform operative treatment only when there were subluxation or head at risk signs. \u2022 pelvic osteotomies or a combination of pelvic and femoral osteotomies rather than femoral osteotomies alone. Age did not determine the indication for treatment and there was no agreement on the indications for physiotherapy. There was also no consensus on the type of pelvic osteotomy to be used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study showed that indications for the treatment of LCPD is based more on the personal experience of the surgeon rather than on scientific data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11832-007-0010-z","type":"journal-article","created":{"date-parts":[[2007,3,14]],"date-time":"2007-03-14T02:43:52Z","timestamp":1173840232000},"page":"19-25","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":50,"title":["The management of Legg-Calv\u00e9-Perthes\u2019 disease: Is there a consensus?"],"prefix":"10.1177","volume":"1","author":[{"given":"Fritz","family":"Hefti","sequence":"first","affiliation":[{"name":"Pediatric Orthopedic Department, Children's Hospital, University of Basle (UKBB), Postfach, 4005, Basle Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. M. P.","family":"Clarke","sequence":"additional","affiliation":[{"name":"University Orthopaedics, Southampton General Hospital, Tremona Road, S016 6UY, Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,3,1]]},"reference":[{"key":"bibr1-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200410000-00002"},{"key":"bibr2-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B2.3818755"},{"key":"bibr3-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466060-00006"},{"key":"bibr4-s11832-007-0010-z","first-page":"153","volume":"11","author":"Mukherjee A","year":"1991","journal-title":"J Pediatr Orthop"},{"key":"bibr5-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.3109\/17453679209154728"},{"key":"bibr6-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.53B1.37"},{"key":"bibr7-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000180601.23357.d9"},{"key":"bibr8-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200104000-00020"},{"key":"bibr9-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163070-00006"},{"key":"bibr10-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200409000-00002"},{"key":"bibr11-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B5.12124"},{"key":"bibr12-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B5.7559701"},{"key":"bibr13-s11832-007-0010-z","first-page":"200","volume":"13","author":"Ritterbusch JF","year":"1993","journal-title":"J Pediatr Orthop"},{"key":"bibr14-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200207000-00012"},{"key":"bibr15-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B6.14622"},{"key":"bibr16-s11832-007-0010-z","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199203000-00001"}],"container-title":["Journal of Children's Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11832-007-0010-z","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11832-007-0010-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1007\/s11832-007-0010-z","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11832-007-0010-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:07:40Z","timestamp":1777388860000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1007\/s11832-007-0010-z"}},"subtitle":["A study of clinical practice preferred by the members of the European Paediatric Orthopaedic Society"],"short-title":[],"issued":{"date-parts":[[2007,3]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,3]]}},"alternative-id":["10.1007\/s11832-007-0010-z"],"URL":"https:\/\/doi.org\/10.1007\/s11832-007-0010-z","relation":{},"ISSN":["1863-2521","1863-2548"],"issn-type":[{"value":"1863-2521","type":"print"},{"value":"1863-2548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,3]]}}}