This may be done at home or in the hospital. Skin traction prepares the soft tissues around the hip for the change in bone positioning. Skin traction may be used for a few weeks prior to repositioning the thighbone. Older babies are also treated with closed reduction and spica casting. Your child's doctor and healthcare team will teach you how to perform daily activities, maintain the cast, and identify any problems.Ħ months to 2 years.
![hip dysplacia xray shoing normal hip dysplacia xray shoing normal](https://i.pinimg.com/originals/a1/01/a8/a101a89b783f9fa71d26ca0a77ab3301.jpg)
This procedure is done while the baby is under anesthesia.Ĭaring for a baby in a spica cast requires specific instruction. Your child's doctor will gently move your baby's thighbone into proper position, then apply a body cast (spica cast) to hold the bones in place. In some cases, a closed reduction procedure is required. If the hip will not stay in position using a harness, your child's doctor may try an abduction brace made of firmer material that will keep your baby's legs in position.
![hip dysplacia xray shoing normal hip dysplacia xray shoing normal](http://www.learningradiology.com/images/boneimages1/normalpelvismeasurementsforDDH-fromeMedicine.jpg)
It is usually worn full-time for at least 6 weeks, and then part-time for an additional 6 weeks. How long the baby will require the harness varies. This method is usually successful, even with hips that are initially dislocated. Similar to newborn treatment, a baby's thighbone is repositioned in the socket using a harness or similar device. It is very important to attend all of your baby's scheduled clinic visits so the doctor can check the hip and the fit of the Pavlik harness.ġ month to 6 months.
![hip dysplacia xray shoing normal hip dysplacia xray shoing normal](https://upload.orthobullets.com/cases/101049/40946801-5a48-4203-8745-41bcc4ae83c6_img_20180315_212211.jpg)
Your doctor and healthcare team will teach you how to safely perform daily care tasks, such as diapering, bathing, feeding, and dressing. Parents play an essential role in ensuring the harness is effective. Newborns may be placed in a Pavlik harness for 1 to 3 months to treat DDH.