{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:24:15Z","timestamp":1783646655394,"version":"3.55.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:p> We have examined the effect of arthrodiastasis on the preservation of the femoral head in older children with Perthes\u2019 disease. We carried out a prospective trial in boys over the age of eight years and girls over seven years at the time of the onset of symptoms. The patients had minimal epiphyseal collapse and were compared with a conventionally treated, consecutive, historical control group. Arthrodiastasis was applied for approximately four months. The primary outcome measure was the extent of epiphyseal collapse at the end of the fragmentation phase. One of the 15 treated hips and nine of the 30 control hips showed a loss of height of 50% or more of the lateral epiphyseal column on the anteroposterior radiographs (Herring grade-C classification). On a Lauenstein view, one of the treated hips and 19 of the control hips showed at least a loss of height of 50% of the anterior epiphyseal column. The complications of arthrodiastasis included pin-site infection in most hips, transient joint stiffness in two, and breakage of a pin in two. The final outcome will be known when all the patients and the control group reach skeletal maturity. <\/jats:p>","DOI":"10.1302\/0301-620x.86b2.14284","type":"journal-article","created":{"date-parts":[[2004,3,10]],"date-time":"2004-03-10T22:48:54Z","timestamp":1078958934000},"page":"244-250","source":"Crossref","is-referenced-by-count":47,"title":["Arthrodiastasis in Perthes\u2019 disease"],"prefix":"10.1302","volume":"86-B","author":[{"given":"S. L.","family":"Maxwell","sequence":"first","affiliation":[{"name":"Musculoskeletal Education and Research Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. J.","family":"Lappin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Musgrave Park Hospital, Stockman\u2019s Lane, Belfast, BT9 7JB, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. D.","family":"Kealey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Musgrave Park Hospital, Stockman\u2019s Lane, Belfast, BT9 7JB, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. C.","family":"McDowell","sequence":"additional","affiliation":[{"name":"Musculoskeletal Education and Research Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. P.","family":"Cosgrove","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Musgrave Park Hospital, Stockman\u2019s Lane, Belfast, BT9 7JB, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.86B2.14284","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.86B2.14284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:11:15Z","timestamp":1629144675000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.86B2.14284"}},"subtitle":["PRELIMINARY RESULTS"],"short-title":[],"issued":{"date-parts":[[2004,3]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2004,3]]}},"alternative-id":["10.1302\/0301-620X.86B2.14284"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.86b2.14284","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,3]]}}}