Rehabilitation after hip spica cast treatment DDH m PDF Drukuj Email
Rehabilitation after spica cast treatment mostly after overhead and close reduction in luxatio coxae
congenital( CDH; Lcc ).
The hip acetabulum is usually dysplastic Typ II c . The femural heads are after avascular necrosis 2-3 grad .
( too much obduction in spica cast or too much power in overhead)
Rehabilitation after treatment spica 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 in a spica cast; usually to the full range of possibilities for an infant: and without blood
flow control.
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
