Abstract
From July 1969 to October 1970, we have endeavored to set up criteria for an adequate treatment of the congenital dislocation of hip at our hospital.
Recently, we had an opportunity to give a brief account of the observations on the treatment of fourty joints which were not treated and diagnosed as congenital dislocation of hip. Our observations centered around the infants.
The infants below 1 year old were treated by Pavlik's method as a standard treatment. Most of them have shown satisfactory development of the hip joints, but in several cases the standard treatment was considered not to be sufficint.
As an additional treatment, the plater cast fixation was performed in two of these cases and the detortion-osteotomy was performed in the remainning cases.
The infants over 1 year old were treated by over head traction method as a standard treatment and subsequently the closed or open reduction and maintenance of the reduced hip with plaster cast.
Our attempt centered around the minimizing the duration of the plaster cast fixation and the permission of the movement in some range.
Concernning to the infants over two years old, it was suggested that the Salter's operation shoud be taken into consideration.
