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CONGENITAL HIP DISLOCATION
The place of hip ultrasonography, which has become widely used in recent years in the diagnosis of congenital hip dislocation, which is difficult to be noticed by families, is indisputable.
Nowadays, we recommend that every newborn be given a hip scan with ultrasound. This examination, which should be evaluated by orthopedic specialists, can provide an accurate diagnosis of more than 90% together with an orthopedic examination.
In the detection of hip dislocation, hip ultrasonography is performed by two separate methods, static and dynamic method. If routine screening is performed in a normal baby, the static method should be combined with the dynamic method in suspicious hips, while the static method is sufficient, and it should be performed under the supervision of a pediatric orthopedic specialist. Thanks to this, hip dislocations that can be diagnosed early can be largely treated with bandage therapy or orthosis without the need for surgery.
Hip dislocations that have not been diagnosed early and that we encounter at an advanced age are usually treated with surgical methods.
Thanks to the advancement of technology, osteotomy and bone extension surgeries can be performed in adults and hip replacement surgeries can be performed after the forties.
Pelvic support osteotomy and bone extension surgery can be performed with the ilizarov method in elderly neglected hip dislocations. The purpose of this surgery is that the patient has a limb that is painless, does not have shortness and does not limp, rather than fulfilling the hip.
In advanced ages, hip replacement surgery should be performed. This surgery is most often performed for the cause of calcification caused by hip dislocation and is more complicated than a normal hip replacement operation.
After hip replacement surgery, the brevity caused by hip dislocation is largely eliminated, hip movements become more comfortable and a completely painless hip is achieved.
Op.Dr.
Adult and Pediatric Orthopedist, Antalya MedicalPark Hospital
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