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FORTY-FIFTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY
PHILIP D. WILSON, M.D.;
LLOYD T. BROWN, M.D.;
M. N. SMITH-PETERSEN, M.D.;
JOHN G. KUHNS, M.D.;
EDWIN F. CAVE, M.D.;
RALPH K. GHORMLEY, M.D.;
MURRAY S. DANFORTH, M.D.;
GEORGE PERKINS;
ARTHUR VAN DESSEL, M.D.;
C. HERMANN BUCHOLZ, M.D.
Arch Surg. 1931;23(3):521-542.
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CONGENITAL DEFORMITIES
Congenital Dislocation of the Hip.
—Evans1 reexamined twenty-five of seventy patients with congenital dislocation of the hip whom he had treated between 1903 and 1920. He found one bad, two poor, thirteen good and nine perfect results, using function as a criterion. Roentgen examination showed that of the thirty-two hips reduced, there were three anterior transpositions, five eccentric nearthroses, sixteen concentric reductions and eight normal hips. The treatment in these cases was closed reduction, followed by prolonged fixation in one position (90 degrees of flexion, 70 degrees of abduction, 0 degrees of rotation) for a period varying from one to eighteen months. Evans allowed walking at once with a 6-inch (15.24 cm.) patten, but after removal of the plaster, the child was kept recumbent for three months and allowed to kick about in bed by day and held splinted in the old position by night. For three
. . . [Full Text PDF of this Article]
Author Affiliations
BOSTON; ROCHESTER, MINN.; PROVIDENCE, R. I.; LONDON, ENGLAND; ANTWERP, BELGIUM; HALLE, GERMANY
Footnotes
This Report of Progress is based on a review of 163 articles selected from 393 titles dealing with orthopedic surgery appearing in the medical literature between Jan. 1, 1931, and April 4, 1931, supplemented by a few articles of older date. Only those papers that seem to represent progress have been selected for review.
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