In order to understand the hip dislocation which is seen 6 times more than the newborn infants in the newborn baby girl, hip dislocation examination should be performed. Dogan Hospital Orthopedics Specialist Ecmel Greens shares his opinions with you.
: - What is congenital hip dislocation?
Dr. Ecmel Greens: The dislocation of the femur from the nest, which should be in the head, is called a hip dislocation.
: - How often is it seen?
Dr. Ecmel Greens: In general, hip dislocation is seen in newborn infants with frequencies ranging from one thousand to one thousandth and a half. Newborn female infants have 6 times more hip dislocation than male infants. The incidence of hip dislocation is higher in newborn infants with maternal hip dislocation.
: - Are there varieties?
Dr. Ecmel Greens: There are several types of hip dislocations seen in newborn infants:
1.Hip dislocation where the hip is completely dislocated but the hip joint can be fitted with a simple maneuver on examination,
2.Buttocks in which the hip is in place (ie, not dislocated) but can be dislodged by a simple maneuver during the examination,
3.Buttocks in which the hip is in place (ie, not dislocated) but with growth retardation of the hip and bone and cartilage and other soft tissues.
: - Is it possible to prevent it?
Dr. Ecmel Greens: It is not possible to prevent the causes of hip dislocation, such as the lack of maternal water in the uterus, postural disorders in the uterus, familial “ligament” loosening, which are the causes of hip dislocation. However, the second type of hip dislocation mentioned above may result in complete dislocation after birth due to some errors in the families or due to some customs and traditions. For example; tight arson in newborn children, in some areas after bathing babies hanging from their feet and hanging down from the head to the water down to the baby up the habits of rhymes increase the risk of hip dislocation. Contrary to the arson in our country, African niggers have less hip dislocation in these countries because they carry their children on their backs or arms. Tightening of the child's legs or hanging them from the legs increases the risk of hip dislocation as it is done in arson. African natives carry their babies with their legs open from the hips and reduce the risk of hip dislocation. The risk of hip dislocation can be reduced if the local and familial features mentioned above are reduced.
: - Can parents find out if their child has congenital hip dislocation?
Dr. Ecmel Greens: Whether there is a congenital hip dislocation or not before the age of walking, the two hips of the child are not fully opened to the sides, one of the legs is short, the pilika (meat folds) in the legs is not always certain, but the hip dislocation may be the precursor of hip dislocation. In walking children, especially in unilateral dislocations limping, and in bilateral dislocations, duck-like walking may be a sign of hip dislocation. Especially in children whose parents have hip dislocations, the risk of hip dislocation is higher than normal families. The risk of hip dislocation is higher in babies with hip dislocation. For this reason, hip dislocation examination should be performed in order to recognize the hip dislocation in advance.
: - How is the diagnosis made?
Dr. Ecmel Greens: Every newborn baby should be examined by a pediatrician and orthopedist. A good orthopedic examination can often be diagnostic. In addition, ultrosonography and X-ray methods should be used in the diagnosis of any retardation in the hip.
: - Is it cure?
Dr. Ecmel Greens: The treatment of hip dislocation should be started as soon as the baby is born. Infants receiving hip dislocation before 1 year of age have almost complete success. So it can be achieved completely healthy hip. The success rate decreases in the treatment after one year depending on the age. Successful results are obtained in the treatment of hip dislocation in early infancy by means of “glands, splints“.
In cases where these are inadequate, hip dislocation is treated with anesthesia and sometimes with small surgical interventions and plaster fixations. Under anesthesia, dislocated hip dislocations can be placed in place with open surgery and, if necessary, some bone surgeries are performed on the hip.
Even though hip dislocations are treated surgically, especially after 3-4 years of age, a normal hip is often not obtained. Orthopedic follow-up of patients with hip dislocation should be performed until advanced age. Different surgical treatments can also be used for hip calcification due to hip dislocation in adulthood.