Osteotomy for unreduced congenital dislocation of the hip in adults.

If adequate examination of all newborn infants is done regularly, congenital dislocation of the hip should theoretically never be seen in the adult. Nevertheless many adults with dislocations untreated or unsuccessfully treated still abound in Canada. It is well recognised that people who grow up with unreduced congenital dislocation of the hip may have little or no disability. ln the Canadian North it has been observed that many Indians go about their business with dislocated hips and have very little trouble. A recent film made in Saskatoon by Dr Stewart Houston (1969) illustrates these points well and warns against over-enthusiastic surgery. I am sure that this is right.