Home traction in the management of congenital dislocation of the hips.
A total of 14 patients with congenital dislocation of the hip have used our home traction frame and program over a 2-year period. The newly designed frame is made of polyvinyl chloride tubing and consists of two parts: a Bradford frame and a roller base. The frame is lightweight, portable, and inexpensive to make. Traction can be maintained for 3 weeks at home, with a significant cost savings of more than $5,000/child. In our patients, there have been no cases of avascular necrosis of the hip or neurovascular problems to the legs. There is decreased psychological stress to the child and family when the care can be provided at home.
D002675:Child, Preschool; D006618:Hip Dislocation, Congenital / Q000628:therapy*; D006701:Home Nursing; D006801:Humans; D007223:Infant; D011187:Posture; D014143:Traction / Q000295:instrumentation / Q000379:methods