Treatment Hip dysplasia abroad
Hip dysplasia is a congenital orthopedic pathology. Worldwide every 7 newborn has infant hip dysplasia. Word dysplasia literally means the hip, that was not developed finally. Dysplasia can be "moderate" and "severe", depending on the case. infant Hip dysplasia treatment for infants depends on the age of the patient.
What are the causes of displasia
If there were some complications during the birth, infant hip dysplasia can also appear. Sometimes, congenitally normal hip joint may stop in the further development, and in that case infant hip dysplasia is "acquired".
The main reasons for that are:
- Hereditary disorders;
- Pathology of pregnancy
- The ligament malfunction
Causes of the dysplasia in infants are not yet fully understood.
The only fact known to medicine is that dysplasia is more common for girls. It is due to the fact that during pregnancy a woman begins to produce a hormone, which makes the joints and muscles soft, resilient for a woman to give birth. This hormone not only affects the joints and muscle tissue of future mothers, it also affects the joints of the baby.
The second factor that can result in the development of hip dysplasia in children is the first birth. It is proved that during the first pregnancy this hormone is produced in larger amounts that during all next pregnancies.
Age of the parent may also play a role in the development of dysplasia.
What indicates the signs of dysplasia in infants
- Dislocating form of the thighs
- Hips are assymetric to each other
- Dislocated femoral head position
However, these features can not 100% prove dysplasia, and even a healthy child may these symptoms, without having the actual illness. Only objective research methods can prove the pathology - X-ray and ultrasound.
What should parents pay attention to?
The diagnosis of "hip dysplasia in children" should be done by the doctor, but sometimes parents can also do a check-up on their own. The check-up includes such steps:
Parents need to try to bend the legs of the child, moving them from the side of the thigh to the knee. If one leg moves above the other, it is an abnormality.
Parents can also try to spread the legs to the side. If one leg is going better and the other worse, it`s also a sign of dysplasia.
Usually this check-up needs to be done before the child is 3 months old.
Diagnosis of dysplasia:
For infants under 2 years old the ultrasound is the most common diagnosis method. In such countries as Austria, Germany, Switzerland the ultrasound examination of hip joints is conducted with all children, who are still in the hospital after their birth.
X-ray is a more accurate method and can also be used during the diagnosis.
Hip dysplasia treatment for infants
Hip dysplasia requires mandatory treatment. If the disease is left without attention, the baby will not be able to have the hip joint devepoped, and as a result - serious complications can occur.
Parents should regularly monitor their child for the signs of disease.
In half of the cases if the pathology does not have obvious signs, it can pass by itself.
Dysplasia treatment usually has the duration of three months. But this applies only to those cases when the disease was detected in time and treatment started immediately. Restoring the normal joint development is usually done under the supervision of a pediatrician.
The basic principles of hip dysplasia treatment in infants involves the orthopedic methods and the active movement of the hip joint within the permitted range.
Pavlik harness is the most famous hip dysplasia treatment in infants
In 1946 in Prague, Czech orthopedic Arnold Pavlik reported the successful treatment of congenital dislocation of the hip with a new "a functional method of treatment." He created the rigid harness, that was limiting movements in the hip joints.
The principle of this method is to ensure that the child's legs bend at the knee and hip joints,with the help of harness.
Since then the Pavlik harness became the golden standard of pediatric orthopedics. In the modern medicine the Pavlik harness is orthopedic device, made of soft fabric.
Massage and physiotherapy
The main goal of physiotherapy is strengthening the hip muscles and coordinating the motor activity of the child.Physiotherapy aims to stabilize the hip joint and to restore normal range of child`s motion. Physiotherapy is used at all stages of medical treatment.
A large number of surgical techniques is used for the treatment of dysplasia, which can be divided into such groups:
- Open reduction of dislocation
- Operations on the pelvic component
- Palliative surgery
Depending on the degree of disease development, the baby may not be recommended to stand on legs until he reaches one year. At the same time, parents should understand that a child will not be able to use any "jumpers" or "walkes", that are used during the first year of kid`s life.
In future the dysplasia can be cured by such measures:
- swimming at least twice per week
- massage of legs and hip joints
- active lifestyle
- walk for 2-3 hours daily
In some cases the patients are required to wear special bandages.Hide
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