Developmental dysplasia of the hip (DDH) in children (Coxa Valga) - a frequent disease. It
is an incorrect relative positions of elements of hip joint - a
vice, which applies to all elements: the acetabulum, femoral head
with the surrounding muscles, ligaments, capsule and is the underdevelopment
of these tissues. The group of hip dysplasia in children include
such diseases as: congenital subluxation, congenital dislocation
and radiologically immature of hip joints.
the children to determine the presence or absence of hip dysplasia
at the age of 3 months need to be done radiography of hip joints
in the frontal projection! Ultrasound does not allow an accurate
diagnosis of the presence or absence of hip dysplasia.
the neck-shaft angle must be 125-130 degrees.
there a dysplasia detection it is needed to keep the child in the
Pavlik stirrups or Gnevkovskiy apparatus. Conservative treatment
should be carried out up to 12 months of age. If conservative treatment
does not give positive results - it should be done surgical treatment
of hip dysplasia.
treatment time from surgery to fixator removal is only 2 months.
The operation is carried out without bloodless and without cutting
the skin. Operation time - only 30 minutes for both joints.
do not do the treatment for hip dysplasia, then with age after
20-25 years there is developing dysplastic coxarthrosis of hip
joints, which leads to disability.
before and after treatment of hip dysplasia you can see below.