Deformities of the Hip: Therapy

Medical aids

Depending on the extent of the change or age, the following measures are used:

Spreading treatment in infants (= abduction treatment), e.g., by means of
- Spreader pants
- Flexor-spreader splint (e.g., Tübingen hip flexor splint); this results in centering of the hip and allows time for post-maturation.
- Treatment principle: Setting a so-called sit-hock position.
- Treatment goal: stably centered, freely movable and pain-free hip joint with mature acetabulum without occurrence of femoral head necrosis.
- Note: spreading diapers do not lead to the required hip flexion position, which is necessary for the post-maturation of the joints!
Extension treatment to adjust the decentered femoral head, from 5 to 6 weeks of age.
Reduction orthoses to adjust the decentered femoral head: Pavlik bandage (strap bandage consisting of a chest strap and two lower leg straps with heel lock); indications: sonographically unstable hip, hip type IIc according to Graf unstable or worse.
Fettweis plaster; installation of the plaster under anesthesia after previous arthography; one to 2 days after plaster installation, a magnetic resonance imaging position control is performed.