Banjade, Rishi RamDhakal, SandeshNepal, PrithuSharma, Niraj Kumar2025-07-272025-07-272025https://hdl.handle.net/20.500.14572/764Rishi Ram Banjade Kathmandu Medical College and Teaching Hospital, Sinamangal ,Kathmandu, Nepal Sandesh Dhakal Department of Orthopaedics, Kathmandu Medical College, Sinamangal ,Kathmandu, Nepal Prithu Nepal Department of Orthopaedics, Kathmandu Medical College, Sinamangal ,Kathmandu, Nepal Niraj Kumar Sharma Department of Radiology, Kathmandu Medical College and Teaching Hospital,Sinamangal ,Kathmandu, NepalAbstract Legg-Calvé-Perthes disease is a childhood condition characterized by avascular necrosis of the femoral head, with a poorer prognosis in children over 8 years. This case report describes a 10-year-old boy presenting with persistent left thigh pain, limp, and limited hip motion following a fall 3 months earlier. Imaging revealed osteonecrosis of the left femoral head with degenerative changes. Despite surgical intervention being the standard for late-onset LCPD, the patient was managed conservatively using bilateral skin traction and a Petrie’s cast due to financial constraints. Follow-up monthly for 6 months showed significant improvement, highlighting conservative treatment's potential in resource-limited settings.en-USOther