What is congenital hip dislocation?
Orthopedics and Traumatology Specialist Op. states that congenital hip dislocation is a preventable disability and underlines that injuries can be prevented with early diagnosis. Dr. Ziya Postalcı explains the issue of congenital hip dislocation in full detail.
Contrary to popular belief, the formation of hip dislocation in babies is not a sudden and acute event, but develops over time.
This period of time begins during the formation of the baby's organs in the womb and continues progressively after birth (if not treated).
How does it occur?
It is useful to consider congenital hip dislocation as a whole and to know that the disorder is not only in the bone, muscle or connective tissues, but also concerns all the structures in this region. Many factors play a role in the formation of the disease. These can be listed as loose connective tissue, poor position in the womb (breech birth, etc.), twin pregnancies, genetic factors and traditional wrong habits after birth. We will focus a little on genetics and traditional habits, among the factors mentioned above.
According to the study conducted by the researcher named Wynne-Davies, which included 589 children with congenital hip dislocation;
1. If the first child of normal parents has DCC, the risk of DCC in other babies is 6%,
2. If one of the parents has DKD, the risk of DKD in the future child is 2%,
3. If one of the parents and any of their children has DKD, the risk of DKF in the future child is determined to be 36%.
According to a study conducted in our country in 1997, the frequency of DKD in Turkey is between 0.5% and 1.5%.
In addition, the risk of congenital hip dislocation in girls is 4-6 times higher than in boys. The physiological position of the newborn is what we call the frog position, with the legs and knees bent and apart. Many families unconsciously swaddle their babies due to the false belief among the public that diapers cause curvature in the legs. This prevents the baby's anatomical development and causes hip dislocation. That's why swaddle As a society, we must give up the habit of hip dislocation.
What is the importance of early diagnosis in congenital hip dislocation?
Early diagnosis is vital in congenital hip dislocation. . Early treatment of congenital hip dislocation is simple and provides unquestionably good results. Early treatment is possible with early diagnosis. With delay in diagnosis, the chance of success in treatment decreases. As a matter of fact, each of the three children diagnosed with congenital hip dislocation at the age of 1 week, 1 year or 5 years and treated will have 3 different hip structures when they reach adulthood. While the child who is diagnosed at 1 week old is completely healthy, the risk of disability is very high for the child who is diagnosed with congenital hip dislocation at the age of 5 and receives appropriate treatment.
What should parents do?
The most important problem with congenital hip dislocation is the difficulty in diagnosis. The reason for this is that no matter how interested the parents are in the child, there is no stimulating or attention-grabbing feature for the parents until the child reaches the age of walking. Therefore, diagnosis is often delayed until walking age. The most valid method of preventing a disease is 'screening'. Preventing a disease is like winning a war without shedding blood. The dramatic aspect of congenital hip dislocation is that the disabilities, material and moral losses that may occur in the future due to delayed diagnosis can be prevented with a 10-minute orthopedic examination.
In order to raise physically and spiritually healthy generations, in addition to all other studies, we recommend that our babies be subjected to a routine physical examination by an orthopedic specialist for congenital hip dislocation when they are 2-3 months old and risky cases are detected. This definition should definitely not be forgotten; “Congenital hip dislocation is a preventable disability.”
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