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Rehabilitation after hip spica casts treatment DDH PDF Drukuj Email

 

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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