On Resultant Lateral Displacement of Femoral Head after the Treatment of Congenital Dislocation of the Hip with Pavlik's Bandage

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概要

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• It is clear, as many authors say, that the results of early treatment of congenitally dislocated hip with Pavlik's bandage are superior to those with classical methods. Resultant lateral displacement or subluxation of femoral head after this treatment, however, is seen considerably. We assume the main causative factor of the lateral displacement must be passive stretch of tight iliopsoas muscle resulting from relaxinng the band in the course of the treatment. We think that the best way for the prevention of this complication is to lengthen the tight iliopsoas muscle gradually by slacking the band. After 2 to 3 weeks from spontenuous reduction the band is begun to slack gradually from so-called 'frog' position to 45 degrees' flexion and 25 degrees' abduction position, and the latter position is kept until satisfactory growing of acetabulum is aquired.Although we get relatively good results, further observation will be required for the conclusion in our methode because of shortness of observation time.

• 西日本整形・災害外科学会の論文

著者

• 奥江 章

  九大整形外科

• 松尾 隆

  九大整形外科

関連論文

• On Resultant Lateral Displacement of Femoral Head after the Treatment of Congenital Dislocation of the Hip with Pavlik's Bandage
• One Case of so-called Congenital Diastasis of Tibio-Fibular Mortise
• Clinical Report on the Deformity of the Foot in Spina Bifida
• A Follow-up Study of Untreated Infantile Flat Foot
• Result of Open Reduction in Congenital Dislocation of the Hip

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