Congenital Dislocation of the Hip.
—Evans1 reexamined twenty-five of seventy patients with congenital dislocation of the hip whom he had treated between 1903 and 1920. He found one bad, two poor, thirteen good and nine perfect results, using function as a criterion. Roentgen examination showed that of the thirty-two hips reduced, there were three anterior transpositions, five eccentric nearthroses, sixteen concentric reductions and eight normal hips. The treatment in these cases was closed reduction, followed by prolonged fixation in one position (90 degrees of flexion, 70 degrees of abduction, 0 degrees of rotation) for a period varying from one to eighteen months. Evans allowed walking at once with a 6-inch (15.24 cm.) patten, but after removal of the plaster, the child was kept recumbent for three months and allowed to kick about in bed by day and held splinted in the old position by night. For three
WILSON PD, BROWN LT, SMITH-PETERSEN MN, KUHNS JG, CAVE EF, GHORMLEY RK, DANFORTH MS, PERKINS G, VAN DESSEL A, BUCHOLZ CH. FORTY-FIFTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY. Arch Surg. 1931;23(3):521–542. doi:10.1001/archsurg.1931.01160090166007