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Article
June 1929

THIRTY-EIGHTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

Arch Surg. 1929;18(6):2400-2416. doi:10.1001/archsurg.1929.01140150164012
Abstract

CONGENITAL DEFORMITIES 

Congenital Dislocation of the Hip.  —Swett1 described a new method of operative reduction for certain long-standing congenital dislocations of the hip. The steps of the operation consisted of opening the joint capsule, freeing the upper portion of the femur from its attached muscles and of then performing an oblique osteotomy of the femoral shaft just below the trochanters. This procedure freed the upper fragment from the restraining action of the shortened soft parts, and the head could then be placed in the acetabalum quite easily. It was retained in place by overlapping and suturing the redundant portions of the joint capsule. Following the operation, the limb was fixed in plaster or treated in a Thomas splint with extension in order to maintain proper alinement of the femoral fragments. Inevitably there was a certain overriding of the fragments, but union did not fail to develop in any of

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