Salter's 1980 review synthesizes 15 years of experimental and clinical work to answer three questions in Legg-Perthes disease: what causes late arthritis, what causes femoral head deformity, and how can deformity be prevented. It draws on a piglet ischemic necrosis model and long-term adult follow-up to build the scientific case for containment-based treatment over traditional non-weight-bearing methods.
This foundational review remains essential for understanding why we use containment principles in Legg-Perthes treatment and how to select appropriate interventions based on scientific rationale rather than tradition.
Salter's 1980 review synthesizes 15 years of experimental and clinical work to answer three questions in Legg-Perthes disease: what causes late arthritis, what causes femoral head deformity, and how can deformity be prevented. It draws on a piglet ischemic necrosis model and long-term adult follow-up to build the scientific case for containment-based treatment over traditional non-weight-bearing methods.
This foundational review remains essential for understanding why we use containment principles in Legg-Perthes treatment and how to select appropriate interventions based on scientific rationale rather than tradition.