Lankamer, V. G., Clarke, N. M. P. and Witherow, P.
Complications of splintage in congenital dislocation of the hip
Archives of Disease in Childhood, 66, (11), . (doi:10.1136/adc.66.11.1322). (PMID:1755647).
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The use of abduction splintage in the treatment
of congenital dislocation of the hip has
an important morbidity. Six children who
developed complications are presented in this
paper. Sustained splintage of an unreduced
hip, overcorrection of the femoral head displacement,
avascular necrosis of the femoral
head, full thickness pressure sores, and excessive
tibial torsion may occur as a consequence
of treatment. Expert supervision of abduction
splintage, correct case selection, and regular
review are necessary to reduce the incidence
of such complications.
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