May 1936


Author Affiliations

From the Hospital for Joint Diseases, service of Dr. Harry Finkelstein.

Arch Surg. 1936;32(5):880-895. doi:10.1001/archsurg.1936.01180230135010

The problem of therapy presented by paralytic dislocation of the hip causes every orthopedic surgeon many moments of uneasiness and doubt. Difficult as the treatment of this condition has always been, the dilemma in which the surgeons of an earlier generation found themselves could still be resolved more readily than that of the modern surgeon. In his review of the condition, Sever1 divided cases of paralysis of the hip into three categories: The first group consisted of cases of the early stage, in which mild paralysis without dislocation existed. In these the prognosis was good, and the treatment consisted of the correction of deformities and the application of a plaster or a brace. The second group consisted of cases in which a reducible paralytic dislocation existed. The prognosis was not as good as that in the former group, but the treatment consisted of correction of the contractures and the

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