Current practice in use of prereduction traction for congenital

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dislocation of the hip. AU: Fish-DN; Herzenberg-JE; Hensinger-RN SO: J-Pediatr-Orthop. 1991 Mar-Apr; 11(2): 149-53 AB: To define the current application of preliminary traction for congenital dislocation of the hip (CDH), 335 members of the Pediatric Orthopaedic Society were surveyed, with an 87% response rate. Most respondents believe that traction reduces the incidence of avascular necrosis (AVN) and enables easier reduction. Only 5% of those surveyed do not use traction, but it is used more frequently in the Northeastern United States. Home traction, favored by 31% of the respondents, is used longer than hospital traction. Although traction is commonly used, a consensus to use preliminary traction has not been achieved. Practice patterns should not be used to determine effectiveness of a treatment.