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If the child presents early in the course of the dis- ease (for example before the femoral head has begun to deform), the aim of treatment would be to prevent subsequent femoral head deformation. If the child presents later in the course of the disease, the aim would be to minimize the progression of early femoral head deformation. Once irreversible deformation is established, the aim is to alleviate symptoms caused by the deformity and attempt to delay the onset of degenerative arthritis.