PMID: 7334109Jan 1, 1981Paper

Incidence of avascular necrosis of the femoral head in congenital hip dislocation related to the degree of abduction during preliminary traction

Journal of Pediatric Orthopedics
E E Fogarty, N J Accardo

Abstract

Two-hundred and twenty-two congenitally dislocated hips of 173 patients had been abducted in one of two fashions, prior to closed reduction under general anaesthesia. In both forms of treatment, the hips were in 90 degrees of flexion while they were abducted. Group 1 included those who were abducted up to 90 degrees and Group 2 those who were abducted to not more than 60 degrees. The incidence of total avascular necrosis was 90% when the limbs were abducted to no more than 60 degrees and 17% in those abducted up to 90 degrees. The incidence of partial avascular necrosis was not affected by the degree of abduction of the hips. The incidence of avascular necrosis in Group 2 patients is comparable to that in recent reports of patients who received their traction with the hips in extension; this suggests that the flexed position is not harmful, and it is certainly effective and convenient.

Citations

Jul 28, 2004·International Orthopaedics·Marcin Domzalski, Marek Synder
Jun 3, 2015·The Bone & Joint Journal·S R Y W Thomas
May 15, 2016·Journal of Children's Orthopaedics·Mathew D SchurPaul D Choi
Aug 30, 2008·Journal of Pediatric Orthopedics·Christopher Edward BacheIan P Torode
Aug 30, 2018·Journal of Children's Orthopaedics·S L Weinstein, L A Dolan
May 1, 1997·Clinical Orthopaedics and Related Research·S L Weinstein
Jun 4, 2020·International Orthopaedics·Sebastian Gottfried WalterRichard Placzek
Apr 13, 2007·Journal of Orthopaedic Surgery·A KumarH L Nag
Jan 6, 1999·The Journal of Bone and Joint Surgery. American Volume·S J LuhmannG S Bassett
Mar 24, 1999·Journal of Pediatric Orthopedics·L S SegalE P Schwentker
Jan 1, 1996·The Journal of Bone and Joint Surgery. American Volume·A Daoud, A Saighi-Bououina
Jul 3, 2021·International Journal of Environmental Research and Public Health·Umile Giuseppe LongoVincenzo Denaro

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