Dysplasia in the formation of the hip in children being younger than one year old and elder than three years old. The four by four conservative method

José Luis Medina y de la Borbolla; José Danilo Martínez Hernández

2001, Number 6

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Acta Ortop Mex 2001; 15 (6)

Dysplasia in the formation of the hip in children being younger than one year old and elder than three years old. The four by four conservative method

Medina y de la BJL, Martínez HJD

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Language: Spanish
References: 10
Page: 274-277
PDF size: 61.80 Kb.

ABSTRACT

Ten boys between one and three years of age were treated because of 14 hips with DDH. This conservative method consisted on the use of a progressive auto-reduction harness for four months, followed by minimal adductor release surgery and a plaster cast in a security position for another four months. Afterwards a following four months period of a 24 hours Farill abduction splint was installed, followed by a final another 12 hour-a-day four more months with the same splint. Results were good in 87.5% of the cases. Initial acetabular index was 27-30 degrees, compared to less than 20 degrees after treatment.

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Comunicación personal no publicada mecanografiada. Por el Dr. José Luis Medina de la Borbolla, Director del Hospital de Traumatología y Ortopedia Lomas Verdes. Con artículo de protocolo de rescate articular mediante tratamiento conservador/quirúrgico (4 x 4).