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HIP DISLOCATION CAN BE PREVENTED
There are about 1 million 200 thousand births in our country per year. Considering that hip dislocation and hip development problems are a problem that occurs in 15 out of every 1,000 births, about 18-20 thousand babies are born with hip dislocation per year, or hip development problems occur in these newborn babies.
Turkey Medicals Co-ordinator, “Considering that your baby may also be one of them and that you may need help with this, we directed questions,” to Pediatric Orthopedist Prof. Dr. at Istanbul MedicalPark Hospital
1- What is the situation of hip dislocation, is it a preventable disability, do the right or wrong practices of the family have good or bad consequences?
Hip dislocation is popularly considered as a condition that occurs when the leg is pulled out and decoupled during childbirth. However, most of the time, the hip is dislocated while the baby is in the womb, or the development of the hip has been insufficient. What to do after childbirth can cause this problem to develop in a good or bad direction. In this sense, hip dislocation is a preventable disability. In other words, incorrect applications that the family will make to the baby may lead to the baby’s disability.
2- What should be taken into account in order to understand the measures for the elimination of hip problem?
In order for the hip problem and the measures to eliminate this problem to be fully understood, first of all, it is necessary to take into account how variable and rapidly developing the baby is. Babies who reach about three times their birth weight in the first year have the potential to grow very quickly.
3- Is conscious feeding and grip position important for the normal hip development of babies?
Yes, it is important. In order for their hips to develop normally and well, babies should be consciously fed, held and carried in appropriate ways.
4- What are the causes of hip dislocation, which babies are at risk?
The causes of hip dislocation are very diverse. There are many reasons for the baby to stand in an inappropriate position in the womb, for family reasons, from the way of birth to some diseases that we call syndromes. But what we know for sure is that it is more common in girls, first births, those with hip dislocation in the family, in inbreeding, babies born with reverse development (breech arrival), babies born with problems that look like curvature of the neck, flatness of the head and curvature of the feet. Babies who carry any of these characteristics are called a risky group, there is a risk of kalöa ox or developmental problems 2 to 8 times more often than babies who do not have these characteristics.
5- What are the mistakes that the family makes during the upbringing of the baby?
Swaddling: Unfortunately, swaddling is still widely applied to babies in some regions in our country. It is often used, especially in rural areas. In cities, grandmothers resist applying this method to grandchildren with their old habits. He also has ready answers to be given to young mothers who oppose, “we swaddled you too, did your buttocks come out?” However, the negative role of swaddling in the occurrence of hip problems of thousands of children every year is definitely known.
Incorrect diaper: Usually, attention is not paid to the width of the intermediate glands, small decals are used, the decals are connected at the groin level. Ready-made diapers are definitely healthier than any diaper binding, but the size of none of the diapers produced in our country does not match the other. The fact that the gland is narrow and small, its attachment at pubic level are factors that negatively affect hip development.
Faulty clothes: It is also wrong to dress babies in tight and small clothes, sometimes for economic reasons, sometimes because of wrong habits.
Incorrect grip: Babies’ legs are held together, especially during breastfeeding. It is a wrong way of holding, just like the swaddling practice, it negatively affects hip development.
Improper transportation: When transporting babies, especially in the first months, which are much more important, these months are held and carried by hugging. This creates an arson effect. It is not suitable for hip development.
Misinformation among the public: The idea that the use of wide cloth will lead to crooked legs is another common belief that increases the mistakes we have mentioned above, but it has nothing to do with reality. It is normal for babies to have a slight inward curvature of their legs around the age of 1 and it resolves on its own. Excessive curvatures, on the other hand, occur due to vitamin deficiency, overweight or some other diseases, require contacting a pediatrician and an orthopedic specialist. The reason is definitely not a wide cloth.
Pressing down early, using a walker: Pressing down early without completing the natural development process of the baby, putting on a walker is also a faulty procedure. If there is a problem with the hips, it can lead to an increase.
6- What should mom do?
* He/she should avoid the wrong actions listed above and do the appropriate and correct thing.
* Babies should definitely not be swaddled.
* The glands should be wide and large, tied above the navel level.
* Wide, loose, comfortable clothes should be worn.
* While breastfeeding the baby, the legs should not be joined, they should be left in their normal state.
* When carrying a baby, it should be carried by holding it between the legs with one hand facing the carrier’s face or back, or for slightly older babies, it should be carried by sitting on the waist.
* The child’s walking should be left to his own development. A child who does not have any other health or developmental problems normally walks around the age of 1.
7- How to understand hip dislocation or development problem?
The ideal method in infancy is where it is the examination of the hips between weeks 3-6. Decontamination and ultrasonography. For this purpose, it should be evaluated by an orthopedist who is interested in pediatric orthopedics and has training in ultrasound examination of children’s hips. Ultrasonography is a harmless and effective method used to evaluate the hip joint, the vast majority of which has a cartilage character. Most of the time, X-rays are of no value in the first 2 months, it is an unnecessary waste of money, time and is harmful to the child.
Pediatricians are the greatest helpers and guides in understanding hip problems in babies. They will guide the family according to whether the baby is in the risk group or not, according to economic social conditions and scientific opportunities.
8- Can the family understand the hip problem in the baby?
In some cases, a careful mother may notice a hip problem:
* If there is a difference in length between the two legs,
* If he notices that the legs are not opened evenly on both sides when wiping the baby’s bottom, diaper, or if he sees that both legs are not fully opened,
* If he feels any clicking sound in the hip,
* If there is an asymmetrical condition in the lines behind the baby’s legs,
* If the child does not walk at walking age, these may be symptoms of hip dislocation or development problems.
* If your baby is diagnosed with a hip dislocation or development problem
9- Is early diagnosis important, what kind of treatments in Turkish Private Hospitals are applied at what periods, which doctor should we take our child to for hip dislocation?
As with all diseases, early diagnosis is important. In the first 3 months, your chance of getting a completely normal hip with non-cast and non-surgical treatment is over 95%. this chance is slightly lower in babies between 3-6 months, some of the babies older than 6 months may require plaster and surgical treatments. These conditions may vary depending on the degree of the hip problem. If appropriate treatments are performed in children who require surgery over the age of one, the chances of success are much higher, especially for orthopedists experienced in pediatric orthopedics. As it can be seen, it is possible to get good results even if your child has hip dislocation surgery. All children receiving treatment should be under observation until adulthood and should not disrupt annual check-ups. Sometimes children who recover normally at the age of an infant may encounter the problem of insufficient development of the hip again at a rate of 17% during the growth and development period, and this cannot be understood from the outside. He needs to be 17-18 years old to give symptoms. Of course, the problem that is noticed at this age is also more difficult to treat and the results are not very guaranteed.
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But it’s best to behave appropriately, to follow the rules we mentioned above. This both prevents the problem from occurring, and allows some small problems to be corrected. In suspicious cases, contacting an orthopedist in Istanbul who deals with pediatric orthopedics as soon as possible will definitely enlighten you. It can save your baby’s future.
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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.