Hip Dislocation

It is called hip dislocation when the knob located at the head of the femur is dislodged from the socket at the pelvis.  Hip dislocation may be congenital or may occur later due to trauma. Subsequent dislocations occur from height to fall or accident. 90% of the dislocations are towards the back. This causes a leg to shorten and turn inward. If nerve damage is added to hip dislocations, which is a very painful disorder, catalepsy (loss of sensation) may occur.

Congenital Hip Dislocation

Congenital hip dislocations, one of the most serious problems of orthopedics, are most commonly seen in female children. In particular, the firstborn girls of the family are tested for hip dislocation. Making swaddle increasing the risk for babies. Other risk factors are genetic factors, excess weight of the baby, changing hormones of the mother during pregnancy, cesarean section and inversion of the baby. The negative effects of congenital hip dislocations show itself more in advanced ages. Those who can easily perform normal activities up to a certain age can experience movement restrictions later on.  If they are not treated timely, their lives may be adversely affected.

Hip Dislocation Surgery

The earlier the diagnosis is in the babies with congenital hip dislocation, the easier the treatment process. For diagnosis after the 6th month, the delay has already started. In the operating room environment, the hip is placed and the plaster is fixed. Plaster remains for 3 months. It is not possible to correct the dislocation without surgery in a child over 1 year of age.

If the child started to walk and the dislocations were not treated, the shape of the bun was disrupted and the nest in the pelvis was flattened. It is not possible to replace the hip without the correction of this deformity. Even if the bones are operated after the age of 6-7 years, it may be difficult to place the hip in place and limits the movement even if it is placed.  After this age, unilateral hip dislocation can be treated in future to facilitate prosthetic surgery, however, bilateral dislocation of the hip cannot be treated. In summary, congenital hip dislocation should not be delayed for treatment. Even with congenital hip dislocation surgery performed after the aforementioned ages, the success rate gradually decreases and becomes impossible.

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