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Journal of Bone and Joint Surgery, 1935;17:48-59.
© 1935 by The Journal of Bone and Joint Surgery, Inc

PLASTIC CONSTRUCTION OF AN ACETABULUM IN CONGENITAL DISLOCATION OF THE HIP—THE SHELF OPERATION

A. BRUCE GILL M.D.

The author has experienced an increasing satisfaction with the results of these operations as the years have passed.

No claim is made that perfect functional results are obtained in the cases of old and high dislocation. Normal motion cannot be expected. But the stability of the reconstructed hip and the freedom from pain enable the patients to lead often surprisingly useful lives in spite of a limp, limitation of motion, and shortening. Without exception, the patients state that they have been greatly improved. In cases of bilateral dislocation, where only one hip has been operated upon, the patients invariably state that the condition of this hip is better than the one which has not been operated upon.

Cases described under Type V present the greatest technical difficulties of operation.

A judicious combination of reduction by bloodless and by open operative methods should give us almost 100 per cent. successful results in young children.


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