The problem of dysplasia has been the subject of many studies. Orthopedists believe that treatment should begin immediately with the birth of the baby. Only in this case can a full recovery be achieved. Directed dislocation and fully preserved joint functions are what doctors are seeking.
There are external signs by which dysplasia in a newborn can be suspected, but the final diagnosis is made only after an ultrasound scan. What symptoms should I look for if there are such suspicions? When examining a child, the presence of a symptom of slipping and abduction of the hip is revealed. Asymmetry of the gluteal folds, shortening of the legs can also indicate changes in the hip joint.
As already mentioned, treatment must begin immediately.
The baby is swaddled with free legs, and they also use struts. With a pre-dislocation of the thigh, Vilensky tires are prescribed. The telescopic strut is made of aluminum, and the material on the cuffs is made of genuine leather. The device is intended for continuous wear. The orthopedist recommends tires for such indications:
- dysplasia;
- hip dislocation;
- deformation of his neck;
- changes in the position of the femoral head.
Vilensky tires come in three sizes:
- small - for infants up to three to four months;
- middle tire - designed for children from four months to a year;
- large, worn by children over one year old.
A spacer is worn for six months, after the dislocation is repaired
. Vilensky tires are removed only after the complete development of the hip joint occurs. With treatment, the correct ratio of the femoral head and the cavity is achieved. It is necessary that movements are maintained in the joint of the baby who wears a medical spacer.
With dysplasia, Pavlik's stirrups or Vilensky splint are prescribed, photos of the latter are presented in the article. The patient must be examined 1 time per week, until there is a reduction of dislocation. This is checked as follows: the folds between the thigh and buttocks should be symmetrical. After the dislocation is repositioned, a control picture is taken. The doctor also applies the method of manual examination of dysplasia.
The orthopedist shows parents how to put on Vilensky tires. To do this, put the child on a hard surface. Then spread his legs and threaded into the straps, fix and lace up. The doctor will tell you which level to strut is preferable. Parents need to constantly monitor this. Tires allow the child to move, and therefore do not have side effects. The baby can develop normally.
Additionally, therapeutic gymnastics, electrical stimulation of muscles, massage; while the child is wearing a retractable tire. If within two months it is not possible to correct the dislocation of the hip, it is necessary to combine the procedures with other methods. For example, impose a functional plaster cast. In some cases, the Ilizarov apparatus is used . With severe damage to the femoral head, dystrophic processes can occur. In this case, after an x-ray examination, dysplasia is quickly eliminated.