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Discussion
- patient is placed in the supine position;
- knee is flexed to relax the hamstrings;
- assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh;
- longitudinal traction is applied in line w/ axis of femur, and the hip is slightly flexed;
- essential feature is traction in direct line of deformity, followed by gentle felxion of the hip to 90 deg;
- surgeon gently adducts & internal rotates the femur to get reduction;
- hip is gently rotated internally & externally w/ continued longitudinal traction until reduction is achieved