CURRENT PRACTICE IN USE OF PREREDUCTION TRACTION FOR CONGENITAL DISLOCATION OF THE HIP

被引：24

作者：

FISH, DN ^{[1
]}

HERZENBERG, JE ^{[1
]}

HENSINGER, RN ^{[1
]}

机构：

[1] UNIV MICHIGAN,SCH MED,DEPT SURG,ORTHOPAED SURG SECT,ANN ARBOR,MI 48104

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 02期

关键词：

AVASCULAR NECROSIS; CONGENITAL DISLOCATION OF THE HIP; TRACTION;

D O I：

10.1097/01241398-199103000-00002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

To define the current application of preliminary traction for congenital dislocation of the hip (CDH), 335 members of the Pediatric Orthopaedic Society were surveyed, with an 87% response rate. Most respondents believe that traction reduces the incidence of avascular necrosis (AVN) and enables easier reduction. Only 5% of those surveyed do not use traction, but it is used more frequently in the Northeastern United States. Home traction, favored by 31% of the respondents, is used longer than hospital traction. Although traction is commonly used, a consensus to use preliminary traction has not been achieved. Practice patterns should not be used to determine effectiveness of a treatment.

引用

页码：149 / 153

页数：5

共 11 条

[1]

Brook R.H., Practice guidelines and practicing medicine: Are they compatible?, JAMA, 262, pp. 3027-3030, (1989)

[2]

Buchanan J.R., Greer R.B., Cotler J.M., Management strategy for prevention of avascular necrosis during treatment of congenital dislocation of the hip, J Bone Joint Surg [Am], 63, pp. 140-146, (1981)

[3]

Coleman S.S., A critical analysis of the value of preliminary traction in the treatment of CDH, Orthop Trans, 13, (1989)

[4]

Eddy D.M., Designing a practice policy: Standards, guidelines, and options, JAMA, 263, pp. 3077-3084, (1990)

[5]

Gage J.R., Winter R.B., Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip, J Bone Joint Surg [Am], 54, pp. 373-388, (1972)

[6]

Hensinger R.N., Congenital dislocation of the hip: Treatment in infancy to walking age, American Academy of Orthopaedic Surgeons Instructional Course Lectures, 34, pp. 434-456, (1985)

[7]

Mubarak S.J., Beck L.R., Sutherland D., Home traction in the management of congenital dislocation of the hips, J Pediatr Orthop, 6, pp. 721-723, (1986)

[8]

Schoenecker P.L., Strecker W.B., Congenital dislocation of the hip in children, J Bone Joint Surg [Am], 66, pp. 21-27, (1984)

[9]

Voutsinas S.A., Macewen G.D., Boos M.L., Home traction in the management of congenital dislocation of the hip, Arch Orthop Traumatol Surg, 102, pp. 135-140, (1984)

[10]

Weiner D.S., Hoyt W.A., O'dell H.W., Congenital dislocation of the hip: The relationship of premanipulation traction and age to avascular necrosis of the femoral head, J Bone Joint Surg [Am], 59, pp. 306-311, (1977)

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