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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: [Treatment of borderline D/IIIa hip in newborn infants with the Graf-Mittelmeier abduction harness under close ultrasound control].
    Author: Schmitz A, Wagner UA, Schmitt O.
    Journal: Z Orthop Ihre Grenzgeb; 1999; 137(5):400-2. PubMed ID: 10549115.
    Abstract:
    UNLABELLED: By retrospective analysis we investigated the treatment of "congenital" dysplasia of the hip (D/IIIa-type according to Graf) in newborn infants with the Graf-Mittelmeier-Aktivspreizhose (abduction harness). METHOD: Between 1990 and 1997 twenty of twenty-three newborn infants with the IIIa-type were treated with the abduction harness by short-term ultrasound monitoring. We started the therapy in the first days of life, if we could identify a IIIa-type with an alpha-angle close to type D and with only minor tendency to decentration. RESULTS: Eighteen infants (90%) treated by abduction harness developed "mature" hips. At the beginning the mean-value of the alpha-angle was 41 degrees. In the first weeks a rapid hip maturation was observed. The alpha-angles of the 25 and 75 percentiles crossed the 60 degrees at the control of twelve weeks. A modification of the treatment by cast application was necessary in one case only. CONCLUSIONS: The results show, that dysplastic hip joints of newborn infants show a rapid maturation under therapy. Initial treatment with an abduction harness can improve decentered D/IIIa-hips.
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