Ambulatory containment treatment in XXXX .

@entity1 @entity14587 @entity7971 @entity4040 @entity2444 @entity2096
The results of four different ambulatory methods used in the treatment of 248 @entity1 with @entity2444 were compared in five different hospitals. In each hospital the @entity1 population was selected for the @entity7971 of treatment policy. Seventy-two @entity1 were treated with crutches alone, 58 with a Scottish Rite orthosis, 48 with a @entity14587 (a bilateral long-leg brace holding the hips in abduction and internal rotation), and 70 with proximal femoral osteotomy. The end results of treatment were rated according to head sphericity using the MOSE method. Prognostic indicators were recorded, including age of onset of disease, Catterall type, and femoral subluxation. @entity1 with partial-head involvement under eight years of age at disease onset with minimal lateral subluxation (less than 1.5 lateral subluxation ratios) and no proximal subluxation fared equally well with crutch walking or any of the three ambulatory-containment treatments studied. With greater degrees of subluxation, all three containment groups were superior to crutch walking and all were equally effective. In partial-head involvement, @entity1 between eight and 12 years of age, with or without lateral or proximal subluxation, all three ambulatory containment methods were superior to crutch walking. @entity2096 and the @entity14587 were equally effective. Only five Scottish Rite @entity1 were in this age group, too small a number to compare with the other treatment methods. @entity1 with partial-head involvement over 12 years of age at disease onset had poor results. For @entity1 with total-head involvement under eight years of age at disease onset, femoral osteotomy was correlated with a lesser degree of femoral head flattening than either brace or crutch treatment. In whole-head involvement @entity1 over eight years old at disease onset, all three ambulatory containment methods were equally effective and superior to crutch walking; however, there were few crutch walking and Newington abduction @entity4040 @entity1 in this age group.
