The use of the lotus position during spica cast application for the treatment of developmental dysplasia of the hip: a technical note.

Closed reduction and application of a spica cast is a standard treatment in children younger than 18 months. Proper abduction and flexion is crucial during cast application. The surgeon, who usually stands holding the lower limbs, often finds this position cumbersome and difficult to control limb position. During the past 6 years, we have used the lotus (crossed legs) position for the surgeon to achieve better control on hip flexion and abduction, therefore minimizing possible complications such as osteonecrosis of the femoral head.