SECTION I: SYMPOSIUM: ARTHROGRYPOSIS MULTIPLEX CONGENITA: PDF OnlyA Plan of Management and Treatment Results in the Arthrogrypotic HipCLAIR, H., SHELDON ST.*; ZIMBLER, SEYMOUR**Section Editor(s): THOMPSON, GEORGE H. M.D. Author Information * Berg Pediatric Fellow, Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, Massachusetts. ** Professor of Orthopaedic Surgery and Vice Chairman, Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, Massachusetts. Reprint requests to Seymour Zimbler, M.D., Dept. of Orthopaedic Surgery, Tufts University School of Medicine, 171 Harrison Ave., Boston, MA 02111. Received: September 20, 1984. Clinical Orthopaedics and Related Research: April 1985 - Volume 194 - Issue - p 74-80 Free Abstract In a retrospective review of 52 hips in 26 patients with arthrogryposis, 65% of all hips studied were affected by the disorder; 46.6% of the patients were independent ambulators, 33.3% required some type of bracing for ambulation, and 20% were confined to a wheelchair. Based on the results of the authors' treatment as determined by a functional hip score, the authors recommend a one-stage open reduction, varus shortening femoral derotational osteotomy for all unilateral hip dislocations and those bilateral hip dislocations that have a less severe generalized involvement. They also recommend an aggressive traction program with appropriate soft-tissue releases during the neonatal period for patients with subluxation and/ or marked limitation of motion of the hip. © Lippincott-Raven Publishers.