Treatment of congenital hip dislocation before the walking age

Abstract

The condition known as Congenital Hip Dislocation (CHD) is the worst form of hip developmental dysplasia, characterized by a combination of acetabular cavity, proximal femoral segment, and ligamentus capsule apparatus dysmorphisms that cause partial or complete loss of the hip joint's relationship. We offer a sample sce-nario: Male, 2 month of age, with diagnosis of hip dislocation. Patient underwent traction by Morel tecnique: progressive longi-tudinal skin traction, than progressive abduction. Under general anesthesia we performed artrography of the hip, that showed reducible and stable hip; we proceeded with spica cast immobi-lization in human position. The goal of the treatment is to lessen the dislocation and rebuild joint relationships in order to encour-age the proper development, enhance standing posture, improve gait, and correct pelvic and spinal imbalances. The purpose of slow and gradual traction on Morel's bed is to gradually clean the structures to reduce the chances of distant Avascular Necrosis (AVN) of the femoral head development.