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  • Title: [Squatting cast for biomechanical treatment of decentred hip joints].
    Author: Mühlbacher E, Lick-Schiffer W, Lojpur M, Baumgartner F, Spieß T, Tschauner C.
    Journal: Z Orthop Unfall; 2014 Dec; 152(6):551-2. PubMed ID: 25531512.
    Abstract:
    The so-called "congenital" luxation of the hip joint is endemic in Central Europe and occurs in about 1% of all newborn infants. By the means of ultrasonographic diagnosis according to the Graf method an early detection instantly after birth has become a good clinical routine in the German-speaking countries. Sonography-based conservative treatment has become the gold standard. The cast in squatting ("human") position is a standard procedure in order to retain the originally decentred or unstable hip joints in the reduced position: 100° flexion and 50° abduction are necessary to fix the hip joint in the reduced position without the risk of avascular necrosis. After the fixation in a squatting-cast, a period of functional bracing in flexed position enhances bony maturation. This two-phase functional conservative treatment can avoid later osteotomies or even early total hip replacement.
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