The place of hip ultrasonography, which has become widely used in recent years, is indisputable in the diagnosis of congenital hip dislocation, which is difficult to detect by families. For this reason, today we recommend that every newborn baby receive an ultrasound hip scan. This examination, which should be evaluated by orthopedic specialists, can provide over 90% accurate diagnosis together with orthopedic examination.
Hip ultrasonography is performed by two different methods in detecting hip dislocation; static and dynamic method. While the static method is sufficient if routine screening is performed on a normal baby, it should be combined with the dynamic method in suspicious hips and this process should be carried out under the supervision of a pediatric orthopedist. In this way, hip dislocations that can be diagnosed early can be treated with orthoses to a large extent without the need for surgery.
WHAT IF DIAGNOSIS IS LATE?
Congenital hip dislocations, which are not possible to diagnose early and which we encounter at older ages, can usually be treated with surgical methods.
If there is a congenital hip dislocation. If the patient is in his forties, has arthritis problems and has complaints of pain, he can be treated with hip replacement surgery. This surgery is most commonly performed due to arthritis resulting from hip dislocation and is more complicated than a normal hip prosthesis operation. After hip prosthesis surgery, the shortness difference between the two legs caused by congenital hip dislocation is largely eliminated, it usually decreases to the point of being invisible to the eye, and hip movements become more comfortable. and a completely painless hip is obtained.
In congenital hip dislocations that have been neglected until older ages, pelvic support osteotomy and bone lengthening surgery can be performed with the Ilizarov method. The purpose of this surgery is to ensure that the patient is painless, rather than replacing the hip. It is having a limb that is not short and does not limp.
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