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September 1923

TWENTY-FIRST REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

Arch Surg. 1923;7(2):415-465. doi:10.1001/archsurg.1923.01120020181010
Abstract

CONGENITAL DEFCRMITIES 

Congenital Dislocation of the Hip.  —Bradford,1 in a comprehensive paper, has reviewed the history of the treatment of congenital dislocation of the hip. After a wide experience, he considers that the attempt at reduction should be made as early as is possible and before the actual locomotion of the child begins. Any treatment before this should consist of the employment of a traction splint, which in rare cases may accomplish reduction. Bradford advocates reduction by forcible manipulation, under an anesthetic, and he believes that the open method should be reserved for the cases in which this closed method has failed. In the older resistant cases, he advocates the use of the mechanical aids which fix the pelvis and, by use of traction and levers, give the surgeon's hands greater power, accurately applied. He emphasizes the importance of prolonged after-treatment.

[Ed. Note  —Since plaster of Paris is the

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