SLOB

'one & only' ways to treat these hips. Academic egos aside, treatment got better and better as massive cumulative experience made it more & more difficult to deviate from whatever interventions had the best batting averages. How do you let a socket fully reform? One way was to hold the leg positioned and rotated such that the ball of the femur was exactly centered with no pressure pushing on the flat socket side and held that way [with a body cast including leg(s)] for – oh – mmm – three YEARS!

What? Is that a problem? You bet it was. Many pediatric doctors hid the hip findings to spare children this [to them] assault on childhood. Untreated looked this way ==>

So, here we are – with Congenital Dysplasia of the Hip – or aka Developmental Dysplasia of the Hip - CDH / DDH - YEARS in body casts?? To everything, turn turn, there is a season, turn turn … or ... One could cut the bone, and leave the upper part pointing as it was held by the cast, but then

move the rest of the leg to look like standing posture. Hold that using a metal plate with screws. This allows no cast, and go home.