How to treat congenital acetabular dysplasia before the age of 23

Summary. Congenital hip dysplasia has different methods of diagnosis and treatment for patients of different ages. Infants and young children can abduct the hip joints of both lower extremities by taking a cast for external fixation, including external fixation with a cast brace.

For adolescent patients, interventional surgery can be used, such as acetabular stoma to deepen the depth of the acetabulum in the hip joint, or rotational osteotomy of the acetabulum can be done to change the angle of coverage of the acetabulum to the femoral head.

For elderly patients, if the development is very severe in the middle and late stages, artificial hip replacement surgery can be used to replace the hip joint with abnormal development.

What should I do if I find congenital hip dysplasia?

Congenital hip dysplasia has different methods of diagnosis and treatment for patients of different ages. Infants and young children can abduct the hip joints of both lower extremities by taking a cast for external fixation, including external fixation with a cast brace. For adolescent patients, interventional surgery can be used, such as acetabular stoma to deepen the depth of the acetabulum in the hip joint, or rotational osteotomy of the acetabulum can be done to change the angle of coverage of the acetabulum to the femoral head.

For elderly patients, if the development is very severe in the middle and late stages, artificial hip replacement surgery can be used to replace the hip joint with abnormal development.

5 years old. Surgical intervention**.

The sooner the better. Is it expensive?

Generally, the amount of money for surgery is determined according to the length of development and the difference, and the general surgery is 1-30,000 yuan.

The degree of dysplasia is different, and the method is different.

1 If it is only mild acetabular dysplasia, the femoral head is in the true acetabulum, which is often called crown type 1, which is mostly found by physical examination, and patients under the age of 30 are mostly asymptomatic, so there is no need for ** in the early stage. If there is discomfort, orthopedic surgery such as osteotomy is recommended to improve the tolerance of the acetabulum to the femoral head and increase the matching of the joints to avoid arthritis in the future.

2. If the joint is poor, the femoral head is in the case of subluxation, unilateral, the patient is lame, osteotomy can be performed in the early stage to orthopedics, and the time of arthritis appears earlier after no surgery, and other conservative ** is ineffective.

3 Some patients with bilateral high dislocation find that the femoral head is no longer inside the acetabulum, but on the acetabulum, forming a false mortar with development, the early symptoms are not obvious, the activity is not affected, and the early stage can not be treated, because the true acetabulum does not develop normally, and the proximal femoral structures such as the anterior inclination angle and abduction angle of the femoral neck are not developed normally, and it is impossible to reconstruct the normal hip joint by simple means. When symptoms appear later, artificial joint replacement can be performed in a timely manner.

Bilaterally, find an old Chinese medicine doctor, regulate the spleen and stomach, moisten the liver and kidneys, and never be operable

What is hip arthritis?

Hip arthritis usually refers to a joint disease caused by articular cartilage degeneration or changes in bone structure caused by long-term imbalance of weight bearing on the hip joint surface, and many adults have hip joint dysfunction, difficulty walking, and pain around the hip joint are caused by hip arthritis.

1. Hip dysplasia.

Hip dysplasia refers to congenital poor hip joint development at birth, such as the development of the acetabulum is too shallow, the coverage of the acetabulum to the femoral head is reduced, and the matching relationship between the acetabulum and the femoral head is poor, resulting in long-term biomechanical abnormalities secondary to abnormal femoral development, and abnormal changes on the femoral side further aggravate the deformity of the acetabulum, which makes the long-term weight-bearing force of the hip joint surface unbalanced, resulting in secondary femoral head subluxation, dislocation, and hip arthritis and other diseases.

2. Incidence of hip dysplasia.

3. Symptoms of hip dysplasia.

After the diagnosis is confirmed, according to the age of the patient, patients within 6 to 8 months are immobilized with a sling or plaster brace**, and for older patients, there will be more residual models, so for the hip joint**, early diagnosis is recommended, early **.

For very young children, it is possible to take a conservative ** and take advantage of some tools. Older age can also be surgical**.

Sun Jitong, Department of Joint Surgery, No. 309 Hospital of the People's Liberation Army has seen your **, in fact, you have problems with both hip joints, all of which are congenital hip dysplasia, but the right side is relatively serious, for this age, the choice of osteotomy is only the choice of acetabular rotary osteotomy, but the premise of dressing up is that the acetabulum and femoral head match well, and the acetabulum can not be too shallow. And this surgery is very traumatic for you. The left acetabular index is also not good, there may be no symptoms, and I think there are only two options for the right side, either take painkillers and wait, or do hip replacement surgery. After hip replacement, it can be completely weight-bearing, which can slow down the development of the left hip process.

Dr. Sun Jitong of 309 Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

How are you doing? It seems that my situation is a bit similar to yours, in the early stage, it hurt when I walked a lot, and then I don't know if it was better after my moxibustion thigh root, anyway, now I feel that this piece of bone pressing is a little painful, I don't know what the reason is.

Congenital acetabular dysplasia causes necrosis of the femoral head, which is mainly due to congenital acetabular dysplasia slippery, and the development of acetabulum is too shallow compared with normal people, resulting in the central stress point of the femoral head on the outer edge of the acetabulum, which destroys the balanced biomechanical relationship of the hip joint, causes the pressure bearing area of the femoral head to move outward, and increases the external detachment force of the femoral head.

In some groups of people with acetabular dysplasia, some people often engage in manual labor, or at a certain stage of life, there is osteoporosis throughout the body, which increases the external distraction of the femoral head, and forms reciprocating and cumulative hip synovitis in the hip synovial membrane and the outer edge of the acetabulum, resulting in atrophy of the hip synovium, abrasion of the acetabular and femoral head cartilage, causing hip joint space narrowing, degenerative osteoarthropathy, and at the same time causing ischemia of the acetabulum and femoral head, and forming osteosclerosis and cystic changes of the acetabulum and femoral head. The trabeculae under the cartilage of the acetabulum and femoral head disappear, resulting in necrosis of the femoral head.

Therefore, malnutrition in the potato cannot be ignored.

According to the clinical information you provided, you have an acetabular malfertility and are already in the advanced stage of hip osteoarthritis, and you can undergo total hip arthroplasty**. The surgical technique is very mature.

Depending on your condition, you may be able to undergo surgery**, whether or not to have surgery, or what kind of surgery should be performed.

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Dr. Guo Xiaozhong Muji of Jishuitan Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）