title: An evaluation of conservative and operative methods in the treatment of congenital hip dislocation.
abstract: An evaluation of different methods of closed reduction of dislocated hips during different periods of time shows that manual reduction and fixation in Lorenz position account for a high rate of avascular necrosis. Even with functional and slow reduction by Pavlik harness and overhead extension, there is still a certain percentage of femoral capital necrosis. The fetal position recommended by Fettweis and Salter seems to reduce the incidence of necrosis. Acetabuloplasty combined with detorsion-varus-ostcotomy provides the means of normalizing a hip joint with a greater degree of success than most other methods.
mesh_terms: D000077:Acetabulum / Q000601:surgery; D002370:Casts, Surgical; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005269:Femur / Q000601:surgery; D005271:Femur Head Necrosis / Q000209:etiology; D006618:Hip Dislocation, Congenital / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007223:Infant; D008349:Manipulation, Orthopedic / Q000009:adverse effects / Q000379:methods; D010027:Osteotomy / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology; D013165:Splints