Treatment of congenital hip dislocation

Medi-Rehatek will introduce the treatment programs for the congenital hip dislocation:

Treatment of congenital hip dislocation in children, in principle, is the sooner the better, the treatment is different as age increases in principle.

1. For early dislocation less than 1 year, the treatment principle is to keep both hips in the frog-style position for a long time to ensure that the femoral head is completely into the acetabulum. The acetabular posterior edge and the femoral head have the normal development to joint stability without dislocation any more.Treatment is relatively simple, neither anesthesia, nor manual reduction, the effect is better. Put a wide diaper or triangular mat under the crotch, or use a frog-type brace to immobilize, make lower limbs to keep frog-style, it can be natural recovery for six months to a year.

2, 2-3-year-old children with hip dislocation need traction manipulation therapy and gypsum fixation, first we use traction to relax the affected muscle, under the anesthesia we use manual reduction, and we will pull out the femoral head back to normal levels, and we use frog-style gypsum or orthopedic brace to fix.It takes 9-12 months to achieve the satisfactory effect. As the human bone has a strong plasticity, children are in the progress of strong growth and development, the original poorly developed shallow acetabulum will be deepened and return to normal with the stimulation by femoral head.

3 - 4 -7 year-old children with obvious hip dislocation , secondary changes of bone and soft tissues are also obvious.It is difficult to return to normal to have manual reduction. Patients should take surgery. In principle, the acetabulum needs deepening or put a "cover" above it, so that the femoral head is no longer prolapseafter the manual reduction , while the implementation of osteotomy in the affected pelvis to stabilize the joint, postoperative application of plaster or orthopedic fixation.

4, More than 7-year-old children have long course of disease,their muscle ligaments have serious contracture that is difficult to have manual reduction. The femur needs shortening and then have reduction.We use gypsum or orthosis to stabilize after surgery.Surgical age can be extended to 12 years according to specific condition. 

Relative blog:  

Basic Training of Upper Limb Prostheses 

Choosing A Reasonably Priced Thigh Prosthesis

Congenital hip dislocation

Medi-Rehatek will introduce the congenital hip dislocation.

Congenital hip dislocation , also known as developmental hip dislocation or developmental hip dysplasia of the hip and hip hypoplasia, that are the most common deformities in children in China.The incidence rate is 4 ‰ , girls are more than boys, the left sides are more than the right sides. 

Bilateral dislocation is relatively rare, the disease has no obvious symptoms and signs at birth.The child's parents are not easy to find the disease in the early phase, they often find out when the child will be able to walk.They miss the best time to the treatment, leave the children with a lifetime disability and suffering.

The main pathology:

① Iliopsoas muscle tension, contracture, oppression of the acetabular entrance;

② The deformation of Joint capsule is gourd-like;

③ Femoral head and neck deformation, mainly femoral head is oval, short femoral neck,  anteversion angle of femoral neck increases;

④ Acetabular deformation, mainly acetabular fossa shallows, that is like triangular shape, acetabular index increases, the joint labellum involute;

⑤ Femoral ligament thickens and lengthens, articular cartilage degeneration and so on.

Clinical symptoms:

1, Both sides of the inner thigh skin have asymmetry wrinkles, affected skin wrinkles are deepened and increased.

2, Children perineum is widened, especially for  bilateral dislocation that is more obvious.

3, Patient’s hip have less activity, the activity is limited. Pedaling force is weaker than the sound side. The hip is often in the flexion position, can not be straight.

4, Patients with shorter limbs.

5,When patients have traction in lower limbs that have the bomb or snapping sound and sometimes patients will cry.

Some relative blog: 

Practical Training of Upper Limb Prosthesis

Choosing A Reasonably Priced Thigh Prosthesis

Common misunderstanding of wearing back brace

Medi-Rehatek will introduce the common misunderstanding of wearing back brace as below today.

1.It can be safely down to activities when putting on the waist brace?

Acute lumbar disc herniation patients with severe low back and leg pain symptom mainly should rest on bed, who not to replace the rest on bed by wearing back brace. But patients go to toilet or have necessary activities on the ground,who should wear back brace o protect the waist.

2. Wearing back brace for 24 hours a day

Some patients rest on bed who also wear waist brace and do not relax, this approach is wrong. When patients lie in bed, because the lumbar intervertebral disc is not affected by gravity, the waist brace will not play a therapeutic effect, but it offers a psychological comfort. 

The 24-hour non-stop wearing waist brace will cause waist muscle atrophy of disuse, so that patients have a sense of dependence. Once patients take off the back brace,the feeling of dependence will increase,that is not conducive to the rehabilitation of patients. 

Relative blog: 

Basic Training of Upper Limb Prosthesis

Choosing A Reasonably Priced Thigh Prosthesis

Best way to solve lower back pain

Modern people, whether are young or middle-aged, there are some people who have symptoms of low back pain. The condition of back pain can be serious or mild.Once the problem is detected that should be promptly treated so as to avoid heavy consequences caused by long-tine accumulation. So, how to deal with back pain? MEDI-REHATEK will introduce how we can solve the problem of back pain?

4.Crawling treatment of low back pain. 

Presenting with the symptoms of low back pain, you can crawl  on bed and ground to treat the symptoms of low back pain. Crawling can be fully stretched to the waist of the bones, which plays a very good effect for relief and treatment of low back pain.

5.Treats low back pain via bottle cork of hot water 

Finding the location of the waist pain, and then you pull the bottle cork from hot water (temperature should be 80, 90 degrees), wrap the cork with several layers of gauze. Press the bottle cork against the pain point for 2 seconds or so. You should pay attention to avoid scalding in the affected area when you that.

6.Wearing back brace to relieve the back pain

Back brace has velcro straps on dorsal corset to effectively increase abdominal pressure,it offers sports protection for lumbar spine and its soft tissue injuries.If you wear back brace,that can protect your back from pain.

Precautions

There are many causes of low back pain symptoms, if there is this problem that should be treated in time, otherwise it will lead to more serious consequences.

Relative blog: 

daily maintenance of energy storage prosthetic foot

Choosing A Reasonably Priced Thigh Prosthesis

Best way to solve back pain

Modern people, whether are young or middle-aged, there are some people who have symptoms of low back pain. The condition of back pain can be serious or mild.Once the problem is detected that should be promptly treated so as to avoid heavy consequences caused by long-tine accumulation. So, how to deal with back pain? MEDI-REHATEK will introduce how we can solve the problem of back pain?

1.Often massage the waist.

If back pain is caused by a sedentary lifestyle, it can be relieved by massage. There are many ways to massage the waist, and the most effective way is to gently massage the pain and have function of relief of low back pain.

2.Movement of the waist, stretch body.

Most people have back pain due to lack of exercise for a long time, especially for office workers.Sitting in the office for a long time will inevitably lead to consequences of back pain. Therefore, the waist should exercise repeatedly several times a day  and stretch body more.

3. Back pain caused by lumbar disc herniation

Such symptoms are relatively serious, you can paste ointment, professional massage, surgery and other methods of treatment. We suggest that patient should have treatment under the guidance of physicians and patient should change the bad habits of life, such as: the waist posture is not correct for a long time, watching TV and reading on bed. 

Relative blog: 

Principle of energy storage prosthetic foot

Choosing A Reasonably Priced Thigh Prosthesis

Try this if your waist is injured

According to the survey, 70 percent of the people have a waist problem, some with lumbar disc herniation, some with lumbar disc injury or fall. Many patients tell MEDI-REHATEK  that some of them would like to go to hospital for surgery, some will have medication, or buy a waist care device, but the effect is often unsatisfactory. 

Here MEDI-REHATEK will introduce a back brace.This back brace has good permeability, it is soft and flexible with the role of pressure. It is comfortable to wear with light weight, it adapts to different body type. The back brace is in line with human physiological characteristics.

【Indications】

The back support is suitable to patients with thoracic or lumbar soft tissue injury in lower site

The back support is fit to patients with lumbar disc herniation or bulging

The back brace is suitable to patients with thoracic or lumbar spine injury or spondylolisthesis in lower site

The back brace offers rehabilitation to patients with thoracic or lumbar vertebral bone injury and other mild injuries 

Relative blog: Elbow flexion training for patients with upper limb amputation 

Choosing A Reasonably Priced Thigh Prosthesis

Prosthesis use experience and body weight

Some patients have the feedback that the prosthetic feet become a little bit harder, their use experience are not as good as before. Here, MEDI-REHATEK will explain in detail the relationship between body weight and prosthetic limbs.Each prosthesis is limited in a range of bearing load, if body weight is higher than the load-bearing range of prosthesis,that is likely to cause damage to the prosthesis. 

If the body weight is much lower than the load-bearing range of prosthesis,it will show that the prosthetic feet is more rigid and other phenomena. Prosthetic technician proposes that the weight of fit prosthesis is more than prosthetic limit of about 20 kg.Because the user's weight must not be higher than the load-bearing limit of prosthesis. Then the patient's weight must be lower than the prosthesis weight limit.But that is no good that the weight difference is too much or too little.A scientific and reasonable degree is best for prosthetic patients.

For the prosthesis feet, the weight is not a major factor in determining the prosthetic comfort. Because each below-knee prosthesis has different design and force site, that is suitable for different user also.

Such as some comfortable below-knee prostheses feet,

as long as the patient's weight doesn’t go beyond the maximum load-bearing range of prosthetic feet, regardless of how much difference the patient's weight is from maximum load-wearing weight bearing.It will not affect the wearing comfort, because it is designed for patients with below-knee prostheses,who feel very comfortable.

But some energy storage feet are different,

the prosthetic feet will be compressed when the patient’s feet will give it an appropriate weight during walking, the prosthetic feet will produce a reaction force to allow patients to walk more easily. The greater the weight the greater the reaction force.But the greater the weight is, the more the reaction force is. Too heavy weight easily makes the prosthesis damage, so this time we must very seriously consider whether the standard of the patient's body weight fits the prosthesis. 

Relative blog: 

Simple walk training after prosthetic installation

Choosing A Reasonably Priced Thigh Prosthesis

Comfortable Prosthetic Socket

For prosthetic patients, a "fit" prosthetic socket is the most important. If the prosthetic socket is unreasonable and uncomfortable, then the most expensive prosthesis can not function well. In the past decades there has been the development of a variety of prosthetic sockets but they need to meet the basic conditions of prosthetic socket, like suspension, stability, support.The specific information can be consulted through MEDI-REHATEK.

MEDI-REHATEK will introduce the requirements of fit socket, to see whether your own prosthetic socket can meet these conditions?

First, the stump must be in full contact with the prosthetic socket, that can not appear gaps.

Secondly,let the prosthetic socket have the contact of the end of residual limb, to achieve "fit" effect.

Third, the combination with the residual limb should be as stable as possible, so that patients can control prosthesis through prosthetic socket in  safe and comfortableway.

Fourth, the contact between stump and the prosthetic socket shouldn’t cause soft tissues damage, in order to reduce discomfort as much as possible .

Only achieving the above conditions, your prosthetic socket is really a "fit" one. 

Relative blog: 

Go upstairs and downstairs training for thigh prosthesis II

Choosing A Reasonably Priced Thigh Prosthesis

How will amputation impact amputee

Limb amputation will usually affect patient body.The body will feel tired and weak,Today MEDI-REHATEK will introduce how the amputation will impact the patientbody.

Amputation to the amputee's body can be divided into local and systemic effects:

1, Local impact:

The residual limb after amputation is called as stump. The skin, blood vessels, muscles, nerves, bones on the stump are cut off. Whether it has some impact on the use of prosthesis. The questions are often presented as below:

① Residual limb swelling:

This is mostly due to amputation that leads to blood and lymph flow obstruction.

② Some parts of the residual limb have tenderness:

Painful parts occurs in the interception of nerve ends.

③ The side joint of stump is forced deformation (joints can not be straight):

It occurs in lower limb amputation, such as the thigh amputation patients can not extend backwards the hip, not have adduction; shank amputation patients can not straighten the knee. These causes are more due to unequal muscle strength which are in front and back, medial and lateral joint after limb muscle truncation.

2, Systemic impact

① Amputated patients suddenly reduce the amount of exercise, often resulting in increasing body weight. Especially female patients have too much subcutaneous faton residual limb and heavy weight which seriously affect the use of artificial limbs.

② Systemic muscle strength decreases, physical muscle is weakened. 

Relative blog: 

Go upstairs and downstairs training for thigh prosthesis I

Choosing A Reasonably Priced Thigh Prosthesis