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Ann R Coll Surg Engl. 2009 July; 91(5): 441.
PMCID: PMC2758462
Technical Notes and Tips
Bruce Campbell, Section Editor

An Alternative Crossbar for Controlling Post-Operative Hip Rotation

A modified cast boot with a rotation bar can be used to control postoperative hip rotation, thereby reducing the incidence of further dislocation.1 A broom handle or other piece of dowel has traditionally been utilised as the rigid template for the cross-bar. Broom handles or pieces of doweling are not generally freely available in theatre. Fibreglass casting tape can be twisted around itself to form a solid bar. The fibreglass bar can be attached to a removable cast boot and control rotation of the hip joint in a simple and cost-effective manner (Fig. 1).

Figure 1
Modified cast boot with cross-bar.


1. Rao JP, Bronstein R. Dislocations following arthroplasties of the hip. Incidence, prevention and treatment. Orthop Rev. 1991;20:261–4. [PubMed]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England