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Comparison of Inpatient and Outpatient Traction in Developmental Dislocation of the Hip
- Source :
- Journal of Pediatric Orthopaedics. 14:9-12
- Publication Year :
- 1994
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1994.
-
Abstract
- Summary: We studied 83 hips in 72 children being treated for developmental hip dislocation to assess the influence of home traction upon the incidence and severity of avascular necrosis (AVN). We compared two types of traction prior to closed or open reduction: inpatient Bryant's skin traction (40 hips), and outpatient (home) Bryant's skin traction (43 hips). No routine intraction radiographs were taken in either group. After traction, a stable closed reduction was achieved in 55 hips (66%). Open reduction was performed on 28 hips (34%). The rate of severe AVN involving growth disturbance and resultant deformity (Bucholz types II, III, and IV) was low in both traction groups (inpatient, three out of 40, outpatient, one out of 43). These results demonstrate that an outpatient traction program without attention to radiographic hip station is as safe as identically instituted inpatient programs, as well as those that emphasize achievement of a traction reduction or a predetermined hip station.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
genetic structures
medicine.medical_treatment
Radiography
Avascular necrosis
Femoral head
Postoperative Complications
Femur Head Necrosis
Traction
Ambulatory Care
Deformity
medicine
Humans
Orthopedics and Sports Medicine
Developmental dislocation
Hip Dislocation, Congenital
Retrospective Studies
Bone Diseases, Developmental
Developmental hip dislocation
business.industry
General Medicine
Traction (orthopedics)
medicine.disease
eye diseases
Surgery
surgical procedures, operative
medicine.anatomical_structure
Pediatrics, Perinatology and Child Health
Ambulatory
Physical therapy
sense organs
medicine.symptom
business
Subjects
Details
- ISSN :
- 02716798
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Orthopaedics
- Accession number :
- edsair.doi.dedup.....cb24401480734588393b527f2f906185
- Full Text :
- https://doi.org/10.1097/01241398-199401000-00003