Will Morris & the Inefficacy of bracing for residual dysplasia after closed or open reduction for developmental dislocation of the hip

This week I speak with William Morris of the Texas Scottish Rite for Children, in Dallas. He recently published two papers questioning the efficacy of bracing for reducing the incidence of acetabular dysplasia after a closed or open reduction We discuss the treatment of developmental dislocation of the hip by attaining stable reduction whether by closed or open means, and what acetabular dysplasia signifies He talks about the challenges of performing a retrospective study which encompassed over 40 years experience at the Texas Scottish Rite, as well as the difficulties of interpreting handwritten notes in old medical records  We discussed the theoretical benefit of bracing as well as the physiology implied in the development of the hip joint We discuss surgeon preference and prescribing bracing based on acquired dogma rather than proven science We talk about ways to supplement acetabular development other than bracing And we talk about the possibility of setting up a randomized control trial to determine the efficacy of bracing.