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Rehabilitation after spica cast treatment mostly after overhead and close reduction in luxatio coxae congenital( Lcc ,CDD ).
The hip acetabulum is usually dysplastic Typ II c and. The femural heads are in avascular necrosis 2-3 grad or more. ( too much obduction ( plaster gressing or too much power in overhead)
Rehabilitation after treatment with an LCC cast is of fundamental importance for the shape of the femoral head;
the head is now severely disturbed by the so-called aseptic necrosis caused by the occlusion of the medial circumferential artery after too much abduction of the thigh in a plaster cast;
the procedure consists of several stages:
1. rebilding of the acetabular bone: -45 minutes of treatment 15 minutes break and try to keep the head close to the acetabulum (in the gutter formed by the parent's thighs, etc.) not by excessive abduction;
2. restoration of blood supply in the head: -weightless exercises until the appearance of ossification nuclei;
3. bone rebilding in the femoral head: - gradual weight (in water, etc.)
case Barbara 6m

after 2 months preventation by parents

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