Frequently Asked Questions with Pediatric Orthopedics

When do children start walking?

The expected walking age in children is between 12-18 months. For a child who has not yet walked despite being 18 months old, it is necessary to obtain an expert opinion and evaluate the child in detail.

Is it right to use a walker for children?

Opinions state that the use of a walker may create the habit of walking on tiptoe in some children, and that it may put pressure on the growth nuclei after early weight bearing and cause problems such as braces legs. is available and the use of a walker is generally not recommended.

Are double diapers recommended for my child after hip ultrasound?

   The developmental delay detected after hip ultrasound is sometimes physiological and requires follow-up, and sometimes it is to the extent of requiring treatment due to age and degree.

What could be the reason for the limp in the child?

    The limp in the child is most often due to post-traumatic soft tissue injury or upper respiratory tract injuries, which we call transitional synovitis. It may be due to a temporary edema formation that occurs after infections (cold, flu), or it may be due to important and intervention-requiring reasons such as joint inflammation (septic arthritis), hip dislocation, Perthes disease, cerebral palsy, etc. In a child with a limp, it is essential to seek expert opinion and this A detailed evaluation needs to be made on this subject.

What is flat foot?

    Flat foot can be simply defined as the flattening of the curve on the inside of the foot. If the curve occurs when the child stands up on his toes, it is defined as flexible flat feet. If not, it is defined as rigid flat feet.

Does my child have flat feet?

It is not correct to evaluate children's feet for flat feet before the age of 3 and to diagnose them with flat feet. By the age of 3, as the foot structure takes shape and walking and muscle strength reach a certain maturity, it will be seen that the foot structure of most children is actually normal.

What can I do if my child has flexible flat feet?

    If flexible flat feet do not cause pain and difficulty in walking, they are often monitored and patients are prescribed exercises that they can perform at home. Surgical treatment is largely non-existent. It is not necessary and children largely live a healthy and normal life.

 Are insoles or specially made shoes useful for flat feet?

     The study is long-term and has a wide participation. Studies have shown that insoles, custom-made shoes and orthoses do not contribute to the formation of the arch of the foot in patients with flat feet, and it is thought that arch-supported insoles may be beneficial for pain and walking in children with complaints such as pain and early fatigue.

My child has introversion, what is the reason??

    Intoeing is the inward turning of the metatarsus adductus, the inward turning of the shin bone (tibial torsion) or the height of the angle in the thigh part of the hip joint (femoral head is increased). anteversion). These reasons can be revealed by physical examination and tests.

Can inverted boots be used in the treatment of in-toeing?

If in-toeing is due to deformity of the foot ( metatarsus adductus) Some physicians may use reverse boots, but there is no clear scientific evidence that it is beneficial. In these patients, improvement can be achieved with weekly casting or surgery. If the inversion depends on the height of the angle in the tibia or hip joint, the use of reverse boots will not be of any benefit. However, these two pathologies The potential for improvement is high as age increases and most of the time it improves by the age of 8-10. Surgical treatment is largely not needed.

 

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