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LCPD is considered to be completely healed once no more sclerotic avascular bone is visible in the epiphysis on the radiograph. Though it has been suggested that remodelling of the femoral head may occur between healing phase of the disease and skeletal maturity, it is clear that very little change, if any, occurs in the shape of the femoral head during this period . Hence, it is imperative that appropriate treatment must be instituted early in the disease process to help ensure that the femoral head is spherical at the healed stage. In children with extensive epiphyseal involvement, premature fusion of the capital femoral growth plate may occur which may become manifest only a few years after healing of the disease. This leads to an impairment in the growth of the femoral neck while the greater trochanteric apophysis continues to grow normally. As a result, at skeletal maturity, the femoral neck is short and the centre of the femoral head is at a level below the tip of the greater trochanter. This is referred to as coxa brevis and the resulting altered mechanics of the hip will lead to a Trendelenburg gait due to a relative abductor insufficiency.