Results after skin traction for femur shaft fractures in children below the age of four years.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors have no conflicts of interest or financial ties to disclose. 10. Pediatr Med Chir. 2022 Oct 28;44(s1). doi: 10.4081/pmc.2022.300. Treatment of congenital hip dislocation before the walking age. Sini D(1), De Rosa F(2), Origo C(3). Author information: (1)Orthopedics Department, SS. Antonio e Biagio e Cesare Arrigo Children's Hospital, Alessandria. daniele.sini@ospedale.al.it. (2)Orthopedics Department, SS. Antonio e Biagio e Cesare Arrigo Children's Hospital, Alessandria. fede.derosa88@gmail.com. (3)Orthopedics Department, SS. Antonio e Biagio e Cesare Arrigo Children's Hospital, Alessandria. corigo@ospedale.al.it. The worst type of hip developmental dysplasia, known as congenital hip dislocation (CHD), is characterized by acetabular cavity, proximal femoral segment, and ligamentus capsule apparatus dysmorphisms that result in partial or total loss of the hip joint's relationship. We provide the following example: Hip dislocation has been diagnosed in a male infant 2 months old. The patient underwent progressive abduction followed by longitudinal skin traction using the Morel technique. After performing an artrography on the hip while under general anesthesia, which revealed a reducible and stable hip, we continued with spica cast immobilization in a human position. To promote proper joint development, improve standing posture, enhance gait, and correct pelvic and spinal imbalances, the treatment aims to reduce joint dislocation and rebuild joint relationships. To gradually clean the structures and lower the risk of distant avascular necrosis (AVN) of the femoral head development, slow and gradual traction is applied to Morel's bed. DOI: 10.4081/pmc.2022.300