[Inveterate congenital luxation of the hip in the adult]

The results of treatment of C.D.H. in children over 5 years old is reviewed. The results, specially in bilateral cases, were found wanting; however, in adults with I.C.D., the results are satisfactory in a great number of cases. Considerations are made on the convenience not to make a reduction and of the usefulness of palliative operations, together with the present day standing on total replacement of the hip in I.C.D.H. It is concluded that since the aim of every orthopedic medical attention is the integral rehabilitation of the patient and not only the joint functional recovery, we must consider not only the physical appearance but also the psychic and the socioeconomic as a whole in each particular case, as the fundamental goal of every treatment is to provide self-sufficiency and integration to the society we belong; thus the responsibility for careful considerations on these topics, before advising any therapy. Therefore the present day behavior has come to refrain treating C.D.H. and accept I.C.D.H. as an apparently wise measure.