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FURTHER OBSERVATIONS ON THE ABDUCTION-TRACTION TREATMENT OF CONGENITAL DISLOCATION OF THE HIP
G. KENNETH COONSE; WILLIAM J. STEWART
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The Department of Orthopaedics, Crippled Children's Service, University Hospitals Columbia, Missouri
1934 by The Journal of Bone and Joint Surgery.
The Journal of Bone & Joint Surgery.  1934; 16:303-311 
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Abstract

A résumé of cases of congenitally dislocated hips treated by means of the abduction-traction splint is hereby presented as a supplement to the original report. The method of treatment has certain distinct advantages over other types of treatment:

1. There is no trauma, as abduction takes place gradually over a long period of time, thus permitting gradual stretching of the soft parts.

2. There is no danger of injury to the upper femoral epiphysis or to its blood supply.

3. There is no scar-tissue formation or other fibrosis which accompanies severe manipulations or open reductions and, consequently, there is less danger of limitation of motion after reduction has been accomplished.

4. If closed reduction is necessary, because of rotation of the head and neck of the femur, it is exceedingly easy to do if gradual abduction has taken place for several weeks.

5. It is not necessary to hospitalize the child for long periods. Practically all of our patients have been treated at home.

6. There is no difficulty due to pressure sores or skin irritations.

7. Hips in children of six and seven years of age have been successfully reduced, and almost perfect function has resulted.

It is evident that the method will not succeed in all cases, but it is our conviction that it should be given a fair trial before resorting to other procedures.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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