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
- 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.