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Journal of Bone and Joint Surgery, 1948;30:428-442.
© 1948 by The Journal of Bone and Joint Surgery, Inc

FOLLOW-UP STUDY OF THE EARLY TREATMENT OF CONGENITAL DISLOCATION OF THE HIP

C. H. Crego Jr. M.D.1 and J. R. Schwrtzann M.D.1

1 Shriners' Hospital for Crippled Children, St. Louis

Seventy-eight congenital dislocations of the hip ate reported, and the results of treatment are tabulated. Classification of the results has been particularly critical, the criteria set forth by Gill being used as a guide; and an attempt has been made to compare the relative efficiency of the method of management carried out in this Clinic with that of bloodless reduction, characterized by forcible manipulation under anaesthesia and prolonged immobilization in the frog position. Twenty-two normal and near-normal hips are shown in Figures 10-A to 22-B, inclusive.

In comparing the results of treatment by forcible manipulation and prolonged fixation in plaster in the frog position with treatment as carried out in this Clinic, the authors believe that the former method is not sound and that its use is not justified in congenital dislocation of the hip which can be treated before seven years of age.


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[Abstract] [Full Text]