Closed reduction of developmental dislocation of the hip by prolonged traction

N. Yamada, S. Maeda, G. Fujii, A. Kita, K. Funayama, S. Kokubun

    Research output: Contribution to journalArticle

    24 Citations (Scopus)

    Abstract

    The efficacy of traction before an attempted closed reduction for patients with developmental dislocation of the hip remains controversial. We treated 55 children (62 dislocations of the hip) by preliminary, prolonged traction for a mean of eight weeks. All were followed up for at least two years in order to observe the development of any avascular changes within the femoral head. Of the 55 children, 27 (31 dislocations) were followed up until they were over six years of age. Fifty-seven of the 62 hips (92%) showed a successful closed reduction. Only one had radiological evidence of avascular necrosis of the femoral head. Of the 31 hips which were followed up to over six years of age, 15 (48%) showed residual subluxation. Our method of prolonged preliminary traction leads to a high rate of successful closed reduction, a low incidence of avascular necrosis and a reduced need for secondary operations.

    Original languageEnglish
    Pages (from-to)1173-1177
    Number of pages5
    JournalJournal of Bone and Joint Surgery - Series B
    Volume85
    Issue number8
    DOIs
    Publication statusPublished - 2003 Nov 1

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

    Fingerprint Dive into the research topics of 'Closed reduction of developmental dislocation of the hip by prolonged traction'. Together they form a unique fingerprint.

  • Cite this