On the Diagnosis and Treatment of Congenital Dislocation of the Hip Joint in the Newborn

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During from April 1971 to Augast 1972, 2507 infants were born in the Obstetric Unit of Nagasaki University and two other matanity hospitals.All newborn babies have been routinely examined by Ortolani technique within the first week of life.Ortolani click sign with restricted abduction were noted in 13 cases (0.52%) in the newborn babies.In the exaimnation of 632 babies, 20 cases (3.2%) were noticed the limitation of abduction at examination about one and three month after birth.One case of subluxation, 9 cases of acetabular dysplasia and one case of cerebral paralyssis were found.8 cases of click positive babies were treated with Pavlik's band modified for newborn baby and 10 cases of subluxartion and acetabular dysplasia were treated with Pavlik's band only.All treated cases had excellent results.We consider that radiography is of very limited value in early diagnosis.
西日本整形・災害外科学会の論文