| Show It Is I Mayo from Technical FollowIng Is R a brIef monograph by Dr Mayo front Crom a standpoInt A congenital hip JoInt dislocation Is Isas nit as Its nom name implies one In which the hip was prior to thit birth of ar the tho child It Is ot of very ery Infrequent occurrence and Is morn mom cor mon In the female than In the male the proportion being to 16 to 1 The or of reduction used by Dr Lorenz Is bloodless mid n appeals trong streng I ly to the surgeon and the par lar parents and depends for success upon a thorouGh knowledge ot of the tho anatomy ot of the hip an amt the skillful manipulations or of time tile operator The most favorable time for time tho operation Is witch when the 1111 I tient Is 2 to I 4 years arll old lId the child is kept clean easier casler titan than when younger After Atter time the child Is 18 the procedure Is as follows An assistant the pelvIs firmly tIme the operator grasps time the leg at time knee It to Its fullest extent flexes It ullon the then clearlY demonstrates the lie locality of the head or of time the femur Tile The leg Is then timen lIy by lIe de proc rees a until time the adductor cl are arc made malIc and form n a ridge Using time tho ot of thc lime II mis a hammer the rl ridge re ot of muscles Is pounded until It gives W Way This lengthens the muscles out on time tho Inner aspect or of the he bight Time The leg is III then thea completely flex flexed ell up upon upon on time the thigh fly By using considerable force time the head of the femur Is thrust through time the soft tissues in time the direction or of the titus thus forming a pocket In time tho ligament At this Juncture hy by slight anti and with the aid of 1 a small wedge shaped block time the or of time bone holie Is IA felt relt to slip over the thu or of the ace Into place But Dut when time the leg Its Iii is brought to its position time the ball slips from the socket 1111 time the dislocation Is very apparent In order that the tho head hend or of the femur may Ic be held In its proper place the leg or legs In case coso there Is n a llou dou hIe dislocation Is hut n at t an angle or of ofis is 90 degrees to the hod body anti encased ed In plaster ot m earls It Is bull In this po lilton tor or six or eight months Time The knee Is left free In order that hat time the leg can Le be straightened and amid that It may not liS as Inline un ut angular rigidity At the eni ot of time time the capsular ment has found foun a drum attachment the plas tp tr cn I Dy x and massage the log Is gradually brought Into goo good II po anti time the use or of time the Joint forms a deep A good Joint Is this the result A very or had bad deformity Is always hen ben entel by time the operation and II a slight Blight de deformity Le be absolutely cured A Achild Achild child with such a 11 deformity should ho bo operated upon before It Is S 8 years ears old |
