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