{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:11:14Z","timestamp":1785413474893,"version":"3.56.0"},"reference-count":18,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Objective<\/jats:title>\n Our ideal objective was to assess clinically and radiologically the efficacity of shelf osteotomy in early LCPD with epiphyseal extrusion without hinge-abduction and\/or severe stages.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n A prospective case study conducted at Al-Hussein Hospital, Cairo, Egypt on 20 children with unilateral LCPD, were treated with shelf acetabuloplasty. 14 boys and six girls shared , with 20 hips involved (11 right hip and 9 left hip).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The mean follow-up was 4.9 years (3-6 years). No cases complained of disability or activity limitation. ROM has greatly improved. Internal rotation improved from an average of 15\u00b0 to 35.9\u00b0. Radiographic non union of the shelf was achieved in zero case.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Shelf acetabuloplasty in early extruded femoral head and before extrusion improves and restores pain-free hip movements and improves sphericity of the femoral head and in turn stulberg functional outcome in children with perthes disease.<\/jats:p>\n <\/jats:sec>\n \n Level of evidence<\/jats:title>\n IV<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.133990","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T15:38:29Z","timestamp":1745336309000},"source":"Crossref","is-referenced-by-count":0,"title":["Shelf osteotomy improves pain and stulberg outcome in Legg\u2013Calve\u00b4\u2013 Perthes disease (LCPD)"],"prefix":"10.52965","volume":"17","author":[{"given":"Mohammed","family":"Elmarghany","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["orthopedic surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"tarek M.","family":"Abdelghaffar","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AHMED","family":"ELGEUSHY","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YEHIA","family":"HASANIN","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EHAB","family":"ELZAHED","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MOHAMED NASR","family":"AKL","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AHMED M.","family":"KHAIRY","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MOHAMED I.","family":"ABULSOUD","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MOHAMED","family":"ADEL","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ewepe58","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Azhar University","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Knorr","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00gy2ar74","id-type":"ROR","asserted-by":"publisher"}],"name":"Institut de Recerca Sant Joan de D\u00e9u","department":["ORTHOPEDIC"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1302\/0301-620x.81b3.9405","article-title":"Lateral shelf acetabuloplasty in Perthes\u2019 disease. A review of the end of growth","volume":"81","author":"K. Daly","year":"1999","journal-title":"J Bone Joint Surg Br"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.2106\/JBJS.E.00689","article-title":"Lateral acetabular growth stimulation following a labral support procedure in Legg- Calve-Perthes disease","volume":"88","author":"M. E. Domzalski","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1007\/s11832-009-0216-3","article-title":"Lateral shelf acetabuloplasty in the treatment of Legg-Calve-Perthes disease: improving mid-term outcome in severely deformed hips","volume":"4","author":"I. Ghanem","year":"2010","journal-title":"J Child Orthop"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1097\/BPB.0b013e32835b5726","article-title":"Shelf acetabuloplasty for Perthes disease in patients older than eight years of age","volume":"22","author":"D. M. Wright","year":"2013","journal-title":"J Pediatr Orthop B"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1302\/0301-620X.53B1.37","article-title":"The natural history of Perthes\u2019 disease","volume":"53B","author":"A. Catterall","year":"1971","journal-title":"J Bone Joint Surg Br"},{"key":"ref6","first-page":"26","article-title":"Labral support shelf arthroplasty for the early stages of severe Legg-Calve\u00b4-Perthes disease","volume":"39","author":"C. W. Oh","year":"2010","journal-title":"Am J Orthop"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1080\/17453674.1997.1174475810.1097\/BPO.0000000000000220","article-title":"Acetabulum augmentation for Legg- Calve\u00b4 -Perthes disease","volume":"68","author":"J. K. Dimitriou","year":"1997","journal-title":"Acta Orthop Scand"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1007\/s11832-012-0436-9","article-title":"The role of shelf acetabuloplasty in early and late stages of Perthes disease: a meta-analysis of observational studies","volume":"6","author":"M. Kadhim","year":"2012","journal-title":"J Child Orthop"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1383","DOI":"10.1302\/0301-620X.91B10.22149","article-title":"Shelf acetabuloplasty for children with Perthes\u2019 disease and reducible subluxation of the hip: prognostic factors related to hip remodeling","volume":"91","author":"W. J. Yoo","year":"2009","journal-title":"J Bone Joint Surg Br"},{"issue":"2","key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000220","article-title":"Shelf Acetabuloplasty for Containment in the Early Stages of Legg-Calve-Perthes Disease","volume":"35","author":"Belen Carsi","year":"2015","journal-title":"J Pediatr Orthop"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/00009957-200401000-00004","article-title":"Lateral shelf acetabuloplasty in the early stage of Legg-Calve-Perthes disease with special emphasis on the remaining growth of the acetabulum: a preliminary report","volume":"13","author":"R. Jacobs","year":"2004","journal-title":"J Pediatr Orthop B"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.2106\/00004623-198163070-0000610.1097\/BPO.0000000000000220","article-title":"The natural history of Legg-Calve\u00b4 -Perthes disease","volume":"63A","author":"S.D. Stulberg","year":"1981","journal-title":"J Bone Joint Surg Am"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"448","DOI":"10.2106\/00004623-199403000-00017","article-title":"The treatment of Legg-Calve\u00b4 -Perthes disease","volume":"76A","author":"J. A. Herring","year":"1994","journal-title":"J Bone Joint Surg Am"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1338","DOI":"10.2106\/00004623-199173090-00008","article-title":"Shelf arthroplasty in patients who have Legg-Calve-Perthes disease. A study of long-term results","volume":"73","author":"R. W. Kruse","year":"1991","journal-title":"J Bone Joint Surg Am"},{"key":"ref15","first-page":"138","article-title":"The results of acetabular shelf procedures in Legg-Calve-Perthes disease","volume":"37","author":"H. H. Muratli","year":"2003","journal-title":"Acta Orthop Traumatol Turc"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.jss.2009.09.056","article-title":"Outcomes in advanced Legg- Calve-Perthes disease treated with the Staheli procedure","volume":"168","author":"J. H. Chang","year":"2011","journal-title":"J Surg Research"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1097\/BPO.0000000000000220","article-title":"Shelf acetabuloplasty for Perthes\u2019 disease: 12-year follow up","volume":"67","author":"I. C. M. Van der Geest","year":"2001","journal-title":"Acta Orthop Bel"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1097\/BPO.0b013e3181804be0","article-title":"The outcome of patients with hinge abduction in severe Perthes disease treated by shelf acetabuloplasty","volume":"28","author":"R. T. Freeman","year":"2008","journal-title":"J Pediatr Orthop"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/133990-shelf-osteotomy-improves-pain-and-stulberg-outcome-in-legg-calve-perthes-disease-lcpd","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:59:51Z","timestamp":1761440391000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/133990-shelf-osteotomy-improves-pain-and-stulberg-outcome-in-legg-calve-perthes-disease-lcpd"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,22]]},"references-count":18,"URL":"https:\/\/doi.org\/10.52965\/001c.133990","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,22]]}}}