Treatment of hip dysplasia in babies

Treatment of hip dysplasia in babies

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Hip dysplasia in newborn babies consists of a outward displacement of the head of the femur and it occurs when the head of the femur bone and the cavity of the pelvis where it is housed, do not fit in a correct way.

In some severe cases, the bone is permanently moved out of its natural position (dislocated hip). Correction or dysplasia treatment hip is most effective when detected early.

Correcting this congenital malformation is simple, especially when it is detected early after the baby is born. Treatments vary depending on the severity of the case and the age of the child.

- Mild dysplasia. To keep the femur inside the cavity of the hip bone, a double crossed diaper is usually put on the baby to keep the legs open, when the dysplasia is mild. Postural treatment is also recommended, such as straddling the baby and sleeping on his back with his legs spread apart to try to get the bone back into place naturally.

- Medium or severe dysplasia. If the dysplasia is mild or severe, soft or rigid prostheses or other treatments such as Pavlik harness, which consists of straps that keep the hips flexed 100 degrees to reduce dislocation. Before six months, not all cases need to be treated orthopedically. Newborns can recover with positive maneuvers. If orthopedic treatments do not correct the dislocation, surgery may be the last solution.

Early diagnosis is essential to start treatment before the baby begins to crawl and stand up. If hip dysplasia is not treated before the child begins to walk, it can lead to more serious problems such as irreversible lameness, bone damage, asymmetry of the legs, or early osteoarthritis of the hip.

In some cases, until the child begins to walk, no symptoms of hip dysplasia are detected despite having tested negative in pediatric examinations. A delay in starting to walk, a limp when walking, or an unsteady gait (more unstable than normal in a toddler) may indicate a dislocation.

Marisol New

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Video: Webinar: Evaluation and Indications for Treatment of Hip Dysplasia (August 2022).