Overhead traction in the treatment of congenital dislocation of the hip

Long-term results of traction treatment for congenital hip dislocation (CDH) performed between 1984 and 1990 are presented. The new traction scheme consists of 4 distinctive phases. It is based on gradually changed direction of traction--first, from the longitudinal direction to flexion and abductio...

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Bibliographic Details
Published inChirurgia degli organi di movimento Vol. 78; no. 4; p. 223
Main Authors Rejholec, M, Sosna, A, Dupal, P
Format Journal Article
LanguageEnglish
Italian
Published Italy 01.10.1993
Subjects
Combined Modality Therapy
Female
Follow-Up Studies
Hip Dislocation, Congenital - diagnostic imaging
Hip Dislocation, Congenital - epidemiology
Hip Dislocation, Congenital - therapy
Hip Joint - diagnostic imaging
Humans
Infant
Male
Radiography
Time Factors
Traction - instrumentation
Traction - methods
Traction - statistics & numerical data
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Summary:Long-term results of traction treatment for congenital hip dislocation (CDH) performed between 1984 and 1990 are presented. The new traction scheme consists of 4 distinctive phases. It is based on gradually changed direction of traction--first, from the longitudinal direction to flexion and abduction against the hypomochilion. The traction is applied by means of non irritable adhesive tape using 1/4-1/5 of the child's body weight. The period of active traction is followed by retention period in Hanausek's biomechanical device. The success rate of the scheme, in terms of reduction, was 90 per cent. In 31 per cent the Salter innominate osteotomy was performed because of residual deformity. In 10 per cent of the cases open reduction was necessary.
ISSN:0009-4749