Comparison of inpatient and outpatient traction in developmental dislocation of the hip

J. Camp, J. A. Herring, C. Dworezynski

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

We studied 83 hips in 72 children being treated for developmental hip dislocation to assess the influence of home traction upon the incidence and severity of avascular necrosis (AVN). We compared two types of traction prior to closed or open reduction: Inpatient Bryant’s skin traction (40 hips), and outpatient (home) Bryant’s skin traction (43 hips). No routine in-traction radiographs were taken in either group. After traction, a stable closed reduction was achieved in 55 hips (66%). Open reduction was performed on 28 hips (34%). The rate of severe AVN involving growth disturbance and resultant deformity (Bucholz types II, III, and IV) was low in both traction groups (inpatient, three out of 40, outpatient, one out of 43). These results demonstrate that an outpatient traction program without attention to radiographic hip station is as safe as identically instituted inpatient programs, as well as those that emphasize achievement of a traction reduction or a predetermined hip station.

Original languageEnglish (US)
Pages (from-to)9-12
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume14
Issue number1
DOIs
StatePublished - Jan 1 1994

Keywords

  • Developmental hip dislocation
  • Traction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Comparison of inpatient and outpatient traction in developmental dislocation of the hip'. Together they form a unique fingerprint.

  • Cite this