Results of the congenital dislocation of the hip in children with the age of three years were examined radiologically, and the significance of premanipulative traction and of reconstruction operation for residual deformity were discussed.
Of 44 hips which were reviewed in the paper, anatomical healing was obtained in nine. There are 23 hips in which satisfactory results are expected if appropriate reconstruction operations might have been performed. The results of the cases in which position of the femoral head was lowered by premanipulative traction were favorable.
Consequently, there are two main problems in the treatment of high dislocation of older children; lowering the femoral head and correcting the deformity in acetabulum and proximal femur.
