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FOLLOW-UP STUDY OF THE EARLY TREATMENT OF CONGENITAL DISLOCATION OF THE HIP
C. H. CregoJr.; J. R. Schwrtzann
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Shriners' Hospital for Crippled Children, St. Louis
1948 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1948; 30:428-442 
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Abstract

Seventy-eight congenital dislocations of the hip ate reported, and the results of treatment are tabulated. Classification of the results has been particularly critical, the criteria set forth by Gill being used as a guide; and an attempt has been made to compare the relative efficiency of the method of management carried out in this Clinic with that of bloodless reduction, characterized by forcible manipulation under anaesthesia and prolonged immobilization in the frog position. Twenty-two normal and near-normal hips are shown in Figures 10-A to 22-B, inclusive.

In comparing the results of treatment by forcible manipulation and prolonged fixation in plaster in the frog position with treatment as carried out in this Clinic, the authors believe that the former method is not sound and that its use is not justified in congenital dislocation of the hip which can be treated before seven years of age.

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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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