The shelf operation for congenital dislocation of the hip
Identifieur interne : 004307 ( Main/Exploration ); précédent : 004306; suivant : 004308The shelf operation for congenital dislocation of the hip
Auteurs : Edward L. CompereSource :
- The American Journal of Surgery [ 0002-9610 ] ; 1939.
Abstract
A shelf operation is indicated when the acetabulum is found to be inadequate. It is not the operation of choice for the unreduced hip. The tibial bone peg shelt is favored because it creates a firmly anchored, strong shelf which can be accurately placed at the superior acetabular margin.Reduction of the congenital dislocation of the older patient should be preceded by a period of gradual skeletal traction. Open reduction and construction of the shelf should be accomplished with minimal trauma to the articular surfaces. Early motion following operation should be aided and encouraged, but full weight should not be borne until six months after construction of the shelf.The indications for, contraindications to, and the technique of the shelf operation have been described. Factors which may explain the failure of the shelf operation to correct the limp and permit painless motion with strength and stability in some patients subjected to this operation have been discussed.
Url:
DOI: 10.1016/S0002-9610(39)90858-5
Affiliations:
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Le document en format XML
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<affiliation><wicri:noCountry code="subField">University of Chicago.</wicri:noCountry>
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<front><div type="abstract" xml:lang="en">A shelf operation is indicated when the acetabulum is found to be inadequate. It is not the operation of choice for the unreduced hip. The tibial bone peg shelt is favored because it creates a firmly anchored, strong shelf which can be accurately placed at the superior acetabular margin.Reduction of the congenital dislocation of the older patient should be preceded by a period of gradual skeletal traction. Open reduction and construction of the shelf should be accomplished with minimal trauma to the articular surfaces. Early motion following operation should be aided and encouraged, but full weight should not be borne until six months after construction of the shelf.The indications for, contraindications to, and the technique of the shelf operation have been described. Factors which may explain the failure of the shelf operation to correct the limp and permit painless motion with strength and stability in some patients subjected to this operation have been discussed.</div>
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