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Article
March 24, 1900

CASE OF DOUBLE CONGENITAL LUXATION OF THE HIPS: ONE REPLACED BY MANIPULATION AND THE OTHER BY OPERATION.

Author Affiliations

PHILADELPHIA.

JAMA. 1900;XXXIV(12):730-731. doi:10.1001/jama.1900.24610120026001i
Abstract

The patient, a little over 5 years of age, started to walk when 9 months old. It was noticed that her gait was unnatural and, as she grew older, her back became hollow and her buttocks prominent. At the age of 3½ years, after she had been walking for two years and nine months, she came under my care at the Orthopœdic Hospital. She then possessed the marked waddling gait of this affection. Lordosis was quite marked, the hollow in the back being pronounced. Both trochanters were well above Nélaton's line. In standing she did not hold herself perfectly erect, but slightly flexed both the hips and the knees. Ether was administered and tenotomy of the adductors of both thighs performed. Then, by manipulation, both femurs were restored to their sockets. Both the luxations being dorsal ones, the limbs were put up in plaster of Paris, in an abducted and

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