title: Current practice in use of prereduction traction for congenital dislocation of the hip.
abstract: To define the current application of preliminary traction for congenital dislocation of the hip (CDH), 335 members of the Pediatric Orthopaedic Society were surveyed, with an 87% response rate. Most respondents believe that traction reduces the incidence of avascular necrosis (AVN) and enables easier reduction. Only 5% of those surveyed do not use traction, but it is used more frequently in the Northeastern United States. Home traction, favored by 31% of the respondents, is used longer than hospital traction. Although traction is commonly used, a consensus to use preliminary traction has not been achieved. Practice patterns should not be used to determine effectiveness of a treatment.
authors.affiliation: Department of Surgery, University of Michigan Medical School, Ann Arbor.
authors.forename: D N
authors.initials: DN
authors.lastname: Fish
authors.forename: J E
authors.initials: JE
authors.lastname: Herzenberg
authors.forename: R N
authors.initials: RN
authors.lastname: Hensinger
mesh_terms: D002170:Canada; D002675:Child, Preschool; D002985:Clinical Protocols; D006618:Hip Dislocation, Congenital / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007223:Infant; D011300:Preoperative Care; D011795:Surveys and Questionnaires; D014143:Traction / Q000706:statistics & numerical data*; D014481:United States