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WHAT IS THE BABY AND CHILD HIP DISLOCATION?
By looking at the name of congenital hip dislocation among the public, it is assumed that it is caused by pulling the baby out more decently than usual during childbirth. However, usually when the baby is living in the womb, in the womb, either his hip is already dislocated or the development of the hip joint is not enough. However, some erroneous behaviors that can be performed after childbirth can lead to a real hip dislocation by advancing this dislocated condition. The opposite is also true, with the right moves to be made, a hip joint with insufficient dislocation-prone development can also be restored and returned to normal.
Why is Early Diagnosis Important in Hip Dislocation?
More than 1 million babies are born in Turkey every year and hip dislocation is observed in 15 out of every 1000 births, in this case, about 20,000 babies are born with congenital hip dislocation in our country every year, and if it is not diagnosed early, related disability also occurs in old age.
In recent years, early diagnosis has been paved with hip ultrasound scans when the baby is 1 month old, including private and government institutions, and disabilities have started to be prevented to a large extent. The simplest way to prevent disability in old age is to do routine scans, these scans are performed both by performing a 1-month ultrasound and by checking the pediatrician’s examinations during monthly checkups at the first 1 year of age. Due to ossification of cartilage tissue, ultrasound does not provide healthy information after 3 months. For this reason, if hip dislocation is suspected, especially in babies over 3 months, especially 5 months, it can be diagnosed by measuring the angles with an x-ray film and the necessary treatments can be performed.
Can the Family Suspect Hip Dislocation?
In fact, sometimes we can witness that careful parents notice this. Symptoms related to this that families can pay attention to:
* If the length of the 2 legs is not equal
* Not opening both legs to the sides in the same way when cleaning the baby’s bottom
* If he hears a clicking sound during hip movements – if he feels
* If a child of walking age is still not walking
…although it is not certain, all this can be considered as a sign of a developmental problem in the hip.
Preventing Hip Dislocation – Supporting Hip Development
In order for the hip to develop normally and healthily, babies need to be kept and transported properly. Too narrow cloth should not be used, legs should not be joined when carrying. Arson should definitely not be done. Arson, which used to be applied very intensively, is the biggest enemy of hip dislocation and has now been abandoned in the developed regions of our country in recent years, but unfortunately it is still practiced in rural areas. Today, the modern form of wrapping, made to calm babies who are restless and often wake up by splashing, has nothing to do with the old classical swaddling, in the modern method, a wrapping method is applied in such a way that the legs are free, rather preventing the arms from moving.
Conditions that Cause a Tendency to Hip Dislocation
Although the baby’s standing in an inappropriate position in the womb, family reasons, birth patterns, some genetic syndromes cause this, the known classic hip dislocation risk factors are as follows:
* Girl child
* First birth
* Previous family history of hip dislocation
* Inbreeding marriages
* Babies born with breech arrival
These babies are considered a risk group for hip dislocation and are 2-8 times more likely to have hip dislocation or hip development problems than babies who are not in this risk group.
How is Hip Dislocation Treated?
Hip dislocation or retardation in hip development can be of different degrees, mild temporary developmental retardation, which we call Type 2A on a mild ultrasound, by tying a double gland, which we call a wide decubitus gland, by keeping the legs slightly apart while carrying babies, and usually returns to the normal development process around 3 months. In more advanced hip development disorders, a special treatment tool called Pavlik bandage helps. For hip dislocations that do not improve with this, are late or very advanced, treatment with a cast and surgery are on the agenda, but since this is a very difficult process, it will be more accurate to diagnose it as early as possible, while it is mild, and treat it in simpler ways
Will the Hip Dislocation Heal?
Of course, if diagnosed early, the probability of recovery is higher, especially with simple treatments in the first 3 months, the chance of treatment without surgery without a cast reaches 95%. But if it is diagnosed between 3-6 months, this chance is slightly lower. In children older than 6 months, some may require plaster and surgical treatments. even over the age of 1, they still have a high chance of treatment with surgeries performed by experienced pediatric orthopedists. As a result, the milder the problem or the earlier the diagnosis is made, the healthier the recovery will be seen.
Op.Dr.
Adult and Pediatric Orthopedist, Antalya MedicalPark Hospital
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.