Movement is an everyday necessary condition for the normal functioning of the body. The main mechanism that this provides is the osteoarticular system. It is joints that give mobility and serve to connect parts of the body. The largest of all is the hip joint (TBS), which carries a huge load. Therefore, he wears out faster and is injured. Any of his injuries (considered complex and dangerous) leads to surgery. The treatment is long and difficult.
To accelerate treatment and recovery at such moments, an orthosis on the hip joint, or fixative, is prescribed. This is a kind of alternative to gypsum, as it also maintains the physiologically correct position of the joint.
Why is the treatment difficult?
The treatment difficulties are as follows:
- cartilaginous tissue of TBS fuses poorly;
- the joint is anatomically complicated;
- there is always a high probability of repeated injury;
- most of the joint is damaged.
All this indicates the need for bandages. Their main function is to relieve the joint and prevent complications from developing.
What does the latch do
It is necessary to use a bandage and an orthosis on the hip joints:
- After trauma and surgical procedures, the orthosis fixes the joint. Muscles and ligaments are able to adapt to previous activity.
- To reduce the risk of complications and repeated injuries.
- With minor injuries, the bandage provides support and warms the joint, reducing pain.
- With congenital pathologies of TBS - they must be corrected immediately.
- In the early stages of arthrosis and arthritis to reduce the progression of the process.
In this case, an orthosis on the hip joint gives stabilization, has an analgesic effect.
General concepts of latches
The latches are different, they are classified as follows:
- Bandage for TBS - attached to the hip and waist with elastic breathable Velcro.
- Orthoses are rigid structures that provide strong protection, including metal and plastic components. Hip orthosis is fixed to the joint by straps and lacing.
- Tutors are very similar to orthoses, but are additionally equipped with hinges.
When is it possible to use, and when is it forbidden?
Orthoses and tutors apply:
- during the recovery period after any serious injuries of the femoral neck, trochantericum and TBS;
- after arthroplasty;
- after secondary prosthesis replacement operations;
- during rehabilitation after correction of bone deformities;
- with arthropathy, arthrosis and arthritis;
- after complete removal of the head and neck of the thigh to create a new joint;
- for the treatment of tendon ruptures;
- with childhood dysplasia of TBS (congenital).
An orthosis is undesirable to use with:
- skin diseases;
- bleeding wounds;
- complications after surgery.
What varieties exist?
The level of stiffness distinguishes:
- Soft - made of soft elastic fabric. They are more of a preventive value.
- Semi-rigid - have additional plates inside, average fixation. The outside of the device is made of fabric.
- Rigid orthoses on the hip joints (tutors) are metal plastic. The joint is completely immobilized. Orthosis - is bilateral and one-sided. Belts and Velcro straps are adjustable in size.
Also fixing bandages are:
Hinged devices - the presence of special bonds, they help support the joint when walking.
Hinge-less devices are a one-piece design, used more for fractures of TBS.
More about a one-way orthosis
A one-sided rigid orthosis on the hip joint consists of 2 parts - one has fastenings at the waist, the other on the femur. Between them, special hinges are made, allowing you to adjust the device for yourself, i.e., the orthosis is adjustable. In this case, any movement of the leg is possible: abduction to the side, up, down.
Bilateral rigid orthoses provide immobility of the TBS joint in a certain position. Then the pain decreases.
How to choose an orthosis for TBS
Of course, it is better if the doctor makes the choice, taking into account the individual anatomical features of the patient, as well as the degree of joint injury.
It is difficult for an ignorant person to choose a suitable orthosis on their own. This is also important because an improperly selected joint worsens the condition of the patient and there will be no healing. When choosing, not only the size of the product should be taken into account, but also its strength, convenience, fastening strength and purpose.
An important point is also for which leg the product will be used - an orthosis on the right hip joint or the left.
But the brand and manufacturer of the product is already at the request of the patient. Shopping is best done in specialized stores: here you can accurately choose the size, degree of fixation. In addition, with problems with the orthosis, you can return it and replace it with another.
Top 5 best products by doctors and consumers
The best products are:
- Spinner with Fosta hinge - gives maximum fixation of the thigh and TBS. Relieves swelling, severity of inflammation and pain. Durable and well fixed.
- The OttoBock bandage for children’s hip orthosis is used to treat dysplasia (congenital dislocation of the thigh) in children under 1 year old. The existing strut allows you to adjust the breeding of the hips, while the skin is not injured. Rubbing does not happen.
- Medi Hip Orthosis Adjustable Hip Orthosis - Its 2 parts can be purchased separately, allowing you to precisely select the size. Used during recovery from injuries and operations.
- The Orlett orthosis on the hip joint is strong, light, and fixes the joint intensely. Outside, there is a soft, breathable elastic, while at the same time it fits snugly against the joint. It is indicated for fractures for complete immobility of the leg.
- Bandage "Crate" - soft, made of elastic and breathable material. It is used for prophylaxis after injury.
Rules for using the device
Basic rules of use:
- It is better to put on the orthosis in the supine position when the TBS muscles are relaxed and the orthosis can be tightly fixed.
- Under the orthosis, thin cotton stockings must be worn to absorb sweat;
- At night, the orthosis is removed for ventilation;
- If problems arise during the operation of the orthosis, stop using it;
- It is forbidden to disassemble and repair the instructions themselves.
Orthosis Care
Caring for the orthosis is very simple - it is recommended to wash it in soapy water without squeezing it as it gets dirty. Dried disassembled until dry. You can’t hang on a rope, it stretches. Only hand wash is allowed in non-hot water, without the use of powders.
The best option is to use ordinary children's soap or laundry soap.
Dry the device without using a hair dryer or batteries, not in the sun, in the shade, that is, in a natural way.
This is especially important for hinges and metal parts. Wipe the plastic parts with a disinfectant, carefully remove the remnants so that there is no skin irritation.
Lubricate iron joints for smooth sliding.
Application Results
The effect of the orthoses is not immediately apparent, but it is stable. This is a huge help to a damaged joint, which after injuries always becomes the main conditions of peace and lack of displacement.
The position of the joint is anatomically correct. Light compression improves blood flow and lymph flow, which reduces pain and swelling.
Practical experience and customer reviews
Reviews about the orthosis on the hip joint suggest that it really helps to relieve pain, heaviness. Good quality and reliable assistance are noted. Today in Russia the most popular model is the famous brand of orthopedic products Orlett. These medical devices are made professionally, taking into account all the necessary requirements. The German company has been producing them for many years.
The best review is the Orlett MAN-10 soft bandage , which is not only made from innovative material, it also creates a light compression effect, which helps the resorption of edema and pain relief. From the above we can conclude that the orthosis can become an indispensable tool for the prevention and rehabilitation after serious injuries.