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Best Congenital Hip Dislocation Treatment In Delhi NCR.

What causes Congenital Hip Dislocation

The cause of CHD is unknown in many cases.

  • Girl
  • Low levels of amniotic fluid in the womb
  • First born children
  • Breech presentation (when your baby is born hips first)
  • Family history of the condition.
Symptoms of Congenital Hip Dislocation
  • Legs that turn outward
  • Legs of different lengths
  • Uneven skin folds on the thigh
  • Limited range of motion less flexibility
  • Folds on their legs and buttocks that are uneven when their legs extend
  • Limping, toe walking, or a waddling gait
  • Delayed gross motor development, which affects how your child sits, crawls, and walks

Treatment for Congenital Hip Dislocation

  • When CHD is detected at birth, it can usually be corrected with the use of a harness or brace.
  • If the hip is not dislocated at birth, the condition may not be noticed until the child begins walking. At this time, treatment is more complicated, with less predictable results.
Non-Surgical Treatment

NEWBORN

  • The baby is placed in a soft positioning device, called a Pavlik harness.
  • For 1 to 2 months to keep the thighbone in the socket.
  • This special brace is designed to hold the hip in the proper position

1-6 MONTHS

  • A hip abduction braceis typically worn all the time for the first six weeks
    • then for half of each day for an additional six weeks
    • This brace is made of a non-flexible material that will keep the femur in correct alignment.

6 MONTHS – 2 YEAR OLDER

  • The babies are also treated with closed reduction and spica casting. In most cases
  • skin traction may be used for a few weeks prior to repositioning the thigh bone.
  • Skin traction prepares the soft tissues around the hip for the change in bone positioning.
Physiotherapy Treatment

6 MONTHS – 2 YEAR OLDER

The babies are also treated with closed reduction and spica casting. In most cases:
  • Skin traction may be used for a few weeks prior to repositioning the thigh bone.
  • Therapy is important to correct poor posture
  • Muscle weakness
  • Poor joint awareness
6 MONTH OLDER

  • The physiotherapist takes advantage of their current milestones and trains the hip.
  • Muscles on a number of surfaces keep the hip position in mind and challenge the hip muscles.
  • Therapy is important to correct poor posture.
  • Muscle weakness.
  • Poor joint awareness.
  • Associated tendon inflammation.
Post Surgical Treatment
  • As gait training where patients are taught
  • How to use a walker and/or crutches.
  • After approximately six to eight weeks the muscles will have reattached and the bone will be healed
  • Therapy can improve all these factors including the
  • Strength of hip extensors
  • External rotators
  • Gait re-education
  • Improving body awareness.
  • Strong muscles will act like shock absorbers and provide greater support for the hip.

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