Congenital Dislocation of the Hip.
—Bauer1 condemns the treatment of congenital dislocation of the hip by a plaster cast, maintaining that there is no growth in the joints during such fixation. Even if immediately after such treatment the function seems good, arthritis or subluxation occurs later. He is of the opinion that early recognition of the condition can be made, i. e., in the fourth to the eighth week, by observing the posture of the infant. At this age replacement is secured without an anesthetic, and the position is maintained by the application of a webbing brace so arranged that the knees are drawn apart by attaching them to a band around the lower part of the thorax. Natural mobility is unhindered, only adduction and extension of the hip being prevented, and very good musculature develops, especially around the hip. The result of the treatment in all
KUHNS JG, CAVE EF, ROBERTS SM, BARR JS, JOPLIN RJ, FREIBERG JA, MILGRAM JE, STERLING RI. SIXTY-SECOND REPORT OF PROGRESS IN ORTHOPEDIC SURGERY. Arch Surg. 1937;34(5):957-976. doi:10.1001/archsurg.1937.01190110200013