TherapyTreatment of hip dysplasia

Hip Pain

If you are looking for the cause of your hip pain or you do not know exactly what is causing your hip pain, let us guide you through our hip pain diagnostics and arrive at the most likely diagnosis.

1. conservative therapy treatment of hip dysplasia

Early treatment of hip dysplasia can allow the acetabular roof to mature and prevent hip arthrosis in adulthood. Conservative therapy measures include A maturing treatment of hip dysplasia attempts to influence the growth of the “dysplastic” acetabular roof favourably by positioning the femoral head in the acetabulum. Various aids are available for this purpose.

Frequently used are the spreader pants or the hip flexion splint (e.g. Tübinger splint). The hip joint is spread and strongly bent by this, whereby the femoral head is set deep into the acetabulum. This therapy of hip dysplasia only makes sense within the first 12 months of life.

These procedures are used for dysplasia type 2 a -c.

  • Maturing treatment
  • Closed reduction (repositioning of the hip joint)
  • Fixation

In the case of a higher degree of hip dysplasia (type 2d -4), the femoral head must first be brought back into the acetabulum (reduction). The Pavlik bandage, for example, is suitable for this. It is fixed in the hip joint and in this position by a very strong flexion.

All procedures have in common, however, that the fixed position of the femoral head can lead to a circulatory disorder. As a result, parts of the femoral head can die off and permanently affect the function of the hip joint. If the reduction result of the hip dysplasia cannot be maintained, fixation with splints and plaster may be considered.

The so-called fat white plaster is frequently used. In this case, the hip joint is moved by 100 – 110° and spread out by approx. 45°. As a rule, this type of plaster is well tolerated by children.