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Legg-Calve-Perthes Disease (LCPD) keeps the femoral head positioned correctly in the hip socket while it heals. In less severe cases, non-surgical strategies such as reduced physical activity, pain control, and guided physiotherapy may be effective. However, surgical procedures like osteotomy are often required to realign the hip joint and improve motion when the condition is more advanced. These operations are done under anaesthesia and followed by using a brace or cast to protect the hip during early healing. A stepwise rehabilitation program is started soon after to support recovery, improve mobility, and strengthen the muscles around the hip. Most children regain good joint function with timely care and can return to normal activities.
Treatment for Legg-Calvé-Perthes Disease (LCPD) aims to restore normal hip joint function and prevent long-term damage to the femoral head. The disease causes a temporary loss of blood supply to the femoral head, which can lead to its collapse and deformity. Timely treatment helps maintain the femoral head's round shape and proper positioning in the socket. This reduces stiffness, pain, and the risk of early arthritis in adulthood.
Parents should consult a doctor if a child limps without an injury, complains of hip, thigh, or knee pain, or has reduced hip motion. These signs often appear gradually and can worsen over time. If left untreated, LCPD may lead to permanent hip deformity. Early diagnosis is crucial for initiating therapy during the active stage of the disease.
Preparation includes physical exams, assessments of range of motion, and imaging studies, such as X-rays or MRIs. These tests help determine the stage of the disease and the appropriate treatment. Children and parents may also receive advice on activity restrictions or recommendations for assistive devices, such as crutches or braces. For surgical cases, routine preoperative evaluations and anesthesia clearance are necessary.
Mild cases may only require physiotherapy, rest, or bracing. In moderate to severe cases, surgery, such as femoral or pelvic osteotomy, is performed to reposition the hip joint. This ensures that the femoral head stays properly seated while it heals. Post-surgical care involves immobilisation, followed by targeted rehabilitation to restore movement.
Conservative treatment may last several months to years, depending on the disease's progression and individual response. Surgical procedures usually take 2 to 3 hours, with a hospital stay of 2 to 4 days. Healing and bone remodelling may continue for up to 2 years. Long-term follow-up is crucial for monitoring hip joint development and preventing complications.
- Infection or bleeding after surgery
- Uneven leg length or altered hip shape
- Stiffness or limited range of motion
- Early-onset hip arthritis occurs if the femoral head remains deformed
- Preserves the shape and function of the femoral head
- Reduces pain and limp associated with joint deformity
- Improves hip movement and walking ability
- Delays or prevents arthritis in adulthood
After surgery, a cast or brace may be used to keep the hip in position. Physical therapy is gradually introduced to improve strength and flexibility. Most children return to their daily activities within several months, provided they undergo regular monitoring. Pain management, follow-up imaging, and adjusted activity levels are part of long-term care.
The success of LCPD treatment largely depends on the child's age and the stage at diagnosis. Children under 6 tend to have excellent outcomes with conservative care. In older children, surgery can significantly improve the shape and function of the joint. Overall, early intervention has a success rate of 80-90% in maintaining a pain-free and functional hip.
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Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
- Specialty-based clinics
- Fully-equipped patient rooms
Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
- 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
- 3 Laboratories
- Organ Transplantation Center
- IVF Center
- Genetic Center
- Stroke Center
- Breast Health and Disease Center
- Oncology Center
- Da Vinci Robotic Surgery Center
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Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
- Consisting of 8 floors, 212 bed capacity
- 75m2 suite rooms
- 35 thousand m2 closed area
- 7 operating rooms
- 53 polyclinics
- 54 Departments
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- Hyperbaric Oxygen Center inside the hospital
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NMC Specialty Hospital
Abu Dhabi, United Arab Emirates
NMC Specialty Hospital located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 104 Patient Rooms/Wards
- 7 Operating Rooms
- Laboratory endowed with centrally computerized System
- 24-hour Emergency Department
- 24-hour Pharmacy
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- Radiology Department offering state-of-the-art equipment, including MRI (1.5 Tesla), 64-slice spiral CT Scanner, 4-D Ultrasound with color Doppler, Bone Densitometry, Digital Mammogram with CAD System, and Digital X-Ray Systems with fully integrated PACS
NMC Specialty Hospital, Al Nahda
Dubai, United Arab Emirates
4.7 ( 2 Reviews )
NMC Specialty Hospital, Al Nahda located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 72 Patient Rooms
- 10 ICU Beds
- 10 NICU Beds
- 4 Operation Theatres
- Well-equipped Laboratory
- Radiology Department
- Smaller Medical Centers and Clinics in Dubai
- Advanced Technology used by the Hospital- a patient friendly closed MRI (1.5 tesla), 64 Slice - Dual Source Siemens Definition MDCT CT scanner, 4-D Ultrasound with Color Doppler, Digital Fluoroscopy, Mammogram, and Digital X - Ray systems backed by a fully integrated PACS system
- 24-hour In-house Pharmacy
- 24-hour Ambulance services
Tel Aviv Sourasky Medical Center -Ichilov Hospital
Tel Aviv, Israel
Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
- There are 60 departments in Tel Aviv Sourasky Medical Center
- The center has as many as 6 institutions:
- Ichilov General Hospital
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- Sammy Ofer Heart & Brain Building
- Adams Health Science & Rehabilitation Building (in the planning stage)
- Lis Maternity and Women's Hospital
- Patient Care Numbers (annual) are as follows:
- 400,000 patients
- 36,000 surgeries
- 220,000 ER visits
- 12,000 births
- The bed capacity of the center is 1300.
- Good success rates during treatment for the majority of conditions.
Max Smart Super Speciality Hospital
Delhi, India
3.9 ( 2 Reviews )
- Max Smart Super Speciality Hospital, Saket, New Delhi, is a 250-bed tertiary care hospital known for advanced medical technology and patient-centred care.
- The hospital offers services across 22+ specialities, including Cardiac Sciences, Orthopaedics, Urology, Neurology, Neurosurgery, Paediatrics, Obstetrics, and Gynaecology.
- It is a regional hub for complex procedures such as neurovascular interventions, targeted cancer treatments, heart surgeries, kidney and liver transplants, and bariatric care.
- Equipped with a 3.0 Tesla MRI, 256 Slice CT Angio, Cath Labs, Digital Orthopaedic Suite, and advanced diagnostic tools, and supported by 275+ doctors and 606+ trained staff, Max Smart Saket provides high-quality, multidisciplinary care for domestic and international patients.
Lifecare Hospital, Musaffah
Abu Dhabi, United Arab Emirates
Lifecare Hospital, Musaffah located in Abu Dhabi, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Inpatient Pharmacy
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Acibadem Kadikoy Hospital
Istanbul, Turkey
Acibadem Kadikoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The number of beds in the hospital are 138 and Intensive Care beds are 23.
- There are as many as 6.500 access points for a building control system.
- There are 10 Operating theatres and more than 500 employees.
- There are specific healthcare facilities in Acibadem Kadikoy Hospital, Istanbul, Turkey which have been established per integrated healthcare outreach such as Breast Health Center, Check-up Center, and Diabetes Clinic etc.
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Apollo Hospital International Limited
Istanbul, Turkey
Acibadem Kozyatagi Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The number of beds in the hospital are 84.
- The number of Operation Theaters are 4 and Intensive Care Beds are 8.
- It is well known for the allied healthcare facilities such as a Radiotherapy Center, Use of innovative therapeutic equipment, Gamma Knife which makes for painless and non surgical treatment of tumors.
- The hospital is also recognised for its Motion Analysis Center for treating neurological and orthopaedic conditions and the stroke clinic as well.
- There are a number of free services provided by the Ac?badem Kozyata?? Hospital and these are outlined here,
- Online doctor consultation
- Medical records transfer
- Rehabilitation
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- Interpreter services
- Airport pickup
- Hotel booking
- Free Wifi
- Special dietary requests accepted
- Private rooms for patients available
- Family accommodation
- Pharmacy
- Mobility accessible rooms
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+99Process Involved for Legg-Calve-Perthes Disease (LCPD) Treatment
Treatment Stages for Legg-Calve-Perthes Disease (LCPD) Treatment are:-
- Initial Stage (Diagnosis and Rest): At this stage, the main goal is to reduce pain and inflammation. Children are advised to rest and avoid putting weight on the affected leg. Pain relief medications and activity restrictions are commonly introduced.
- Containment Stage (Maintaining Hip Shape): The focus is on keeping the ball of the thighbone (femoral head) well-positioned within the hip socket. Braces, crutches, or special casts may be used. Physical therapy helps preserve hip mobility.
- Reossification Stage (Bone Healing Begins): Doctors closely monitor hip development through regular X-rays as the bone starts to re-form. Movement and strength exercises are gradually increased under supervision.
- Remodelling Stage (Bone Reshaping): The femoral head continues to heal and reshape itself. At this point, most children regain near-normal joint function. If deformities remain, surgical correction may be considered.
- Recovery and Long-Term Follow-Up: Ongoing physiotherapy supports muscle strength and flexibility. Long-term check-ups are needed to monitor joint health and detect any early signs of arthritis or complications.
The following conditions are treated in Legg-Calve-Perthes Disease (LCPD) Treatment:
- Loss of Blood Flow to the Hip Bone: LCPD treatment focuses on managing the temporary loss of blood supply to the ball-shaped part of the hip, which can lead to bone damage.
- Reduced Hip Movement: It helps improve joint flexibility and reduce stiffness caused by the damaged hip structure.
- Bone Deformity or Poor Joint Fit : The treatment reshapes and guides the proper growth of the thigh bone so it fits well in the hip socket.
- Weak Hip Muscles: Strengthening exercises improve the muscles around the hip and support joint function.
- Long-Term Hip Pain and Uneven Walking: Pain control, physical therapy, and assistive devices aim to ease discomfort and correct limping.
- Initial Assessment and Diagnosis: The process begins with a physical examination, followed by imaging tests like X-rays or MRI to confirm LCPD and evaluate the severity of femoral head damage.
- Pain Management and Activity Modification: Anti-inflammatory medications may be prescribed to ease discomfort. Children are usually advised to limit high-impact activities that stress the hip joint, such as running or jumping.
- Physical Therapy: A guided physiotherapy program helps maintain hip range of motion and muscle strength. Stretching and low-impact exercises are introduced to prevent stiffness and improve mobility.
- Assistive Devices (if needed): In some cases, crutches or braces reduce pressure on the affected hip and allow the bone to heal correctly.
- Surgical Intervention: If the condition is severe or doesn’t improve with conservative measures, surgery (such as osteotomy or joint realignment) may be needed to reshape or stabilise the hip joint.
- Follow-Up and Monitoring: Regular check-ups with imaging are essential to track bone healing and ensure the hip remains in the correct position. Treatment is adjusted as the child grows.
- Long-Term Rehabilitation: Once healing progresses, children undergo long-term physiotherapy and lifestyle modifications to restore full function and avoid future joint problems like early arthritis.
- Osteotomy
- Physiotherapy
- Bracing
- Casting
- Arthrography
- Traction
- Rehabilitation
- Monitoring
Benefits of Legg-Calve-Perthes Disease (LCPD) Treatment include:
- Pain Relief: Treatment helps reduce hip pain and discomfort, improving the child’s daily comfort.
- Improved Hip Mobility: Therapy and proper care restore joint flexibility and movement.
- Correct Bone Growth: Early treatment guides proper reshaping of the femoral head, supporting healthy bone development.
- Better Quality of Life: With reduced pain and improved movement, children can return to normal activities and enjoy better overall well-being.
- Lower Risk of Future Arthritis: Managing LCPD early helps prevent long-term joint damage and reduces the chances of early-onset hip arthritis.
The following are the treating team members for Legg-Calve-Perthes Disease (LCPD) Treatment:
- Orthopedic Surgeon
- Pediatrician
- Physiotherapist
- Radiologist
- Rehabilitation Specialist
- Pain Specialist
- Occupational Therapist
- Nurse
- Psychologist
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