INC Health & CONSULTING
Congenital Hip Dislocation Treatments
Congenital hip dislocation treatments aim to overcome the stabilization problems in the hip joint in babies due to developmental hip dysplasia.
The femoral bone does not fit into the joint socket partially or wholly on one side of the hip joint. It causes walking disability, leg length difference, retardation in muscle, bone development on the side with hip dislocation, and permanent disabilities.
If congenital hip dislocation cases are diagnosed in the early period, it is possible to completely heal with surgical, non-surgical, or combined treatments depending on the degree of dislocation.
What is Congenital Hip Dislocation?
Congenital hip dislocations are hip joint deformations that occur in the womb and during or just after birth.
Congenital hip dislocation can be defined as loose or dislocated hip joint due to the inadequacy experienced in the developmental stage of the hip bone in the mother’s womb, slipped or completely dislocated hip bone due to breech presentation, cesarean section, other birth, and care traumas.
Causes of Congenital Hip Dislocation?
- Genetic transmission
- Breech presentation
- Cesarean
- Joint laxity that develops due to the hormonal status of the mother during pregnancy
- Cerebral palsy
- Maternal febrile illness during pregnancy
Congenital Hip Dislocation Symptoms
Unfortunately, it is not easy to detect in the first six months of infancy. Therefore, neonatal orthopedic examination after birth is an important control that should not be neglected:
- The difference in right and left hips and legs
- One of the legs moving differently than the other
- The opening of one of the legs is different from the other
- Kneecaps do not show the parallel image on both legs
- The legs differ in length
- Different posture in the feet, deformity
How Is Congenital Hip Dislocation Treated?
The treatment of hip dislocation in babies is shaped according to the diagnosis time. For example, hip dislocation noticed within the first two months is cured mainly by Pavlik bandage therapy.
Pavlik bandage is a metal-free, soft correction splint used in newborn hip dislocation and does not disturb babies. The Pavlik bandage, applied within the first six months, is an orthopedic treatment method used in congenital hip dislocation.
In babies older than six months, the hipbone should be surgically repositioned before the baby starts walking. Hip dislocation surgery in infants is performed under general anesthesia. After the hip joint is placed in place, it is placed in a cast.
As the child’s age progresses, the success rate of hip dislocation surgeries begins to decrease. While early diagnosis and treatment without loss of time essentially eliminate hip dislocation in infants, this rate gradually decreases after three years of age.