Question
The leg patterns are asymmetrical, but the thickness is the same, and they can be bent open. However, the right leg has an extra line, and it lacks the strength to kick compared to the left leg. The child’s mother’s uncle had congenital hip dislocation as a baby. Will the child also have this condition? Is this disease genetic? Previous diagnosis, treatment process, and effectiveness: The doctor said there were basically no problems and suggested an X-ray after 6 months. Is it necessary to have one?
Answer
The prognosis of this condition is crucial for early diagnosis. The earlier the treatment, the better the outcome. As age increases, pathological changes become more severe, leading to poorer treatment effects. Treatment methods include: for children under 1 year old, use a hip abduction harness. If there is a semi-dislocation or dislocation of the hip joint at 8-9 weeks after birth, use a hip abduction harness for 6-9 months. This limits only hip extension activities, with no restrictions on other activities. In most cases, children can achieve successful reduction without developing aseptic necrosis of the femoral head; for children aged 1-3 years: for some mild cases, hip abduction harness treatment can still be used. If there is no reduction after 4-6 weeks of treatment, manual reduction and plaster immobilization can be used instead. For children over 4 years old: At this stage, the degree of dislocation becomes more severe, and secondary changes in bones and soft tissues are also more serious. Manual reduction is difficult to succeed, and surgical treatment should be adopted. Perform Salter pelvic osteotomy. For those with a greater than 45° anteversion of the femoral neck, additional femoral rotation osteotomy should be performed.