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Focused on pediatric musculoskeletal disorders including fractures, congenital malformations, and developmental hip dysplasia.
A child’s hip has some capacity for remodeling and matching. The earlier osteotomy is performed after 18 months of age, the better the postoperative fit between the femoral head and hip. Surgery before age 2–3 generally allows near-normal activity, while surgery after age 4–5 may limit joint adaptation; strenuous exercise may shorten joint longevity and increase arthritis risk.
Read Full AnswerDepending on the child’s condition, the surgery may involve 1–3 incisions, each no longer than 8–10 cm. Although this is a major operation for a child, a successful surgery can provide lifelong benefits. Children usually recover quickly after surgery and may be able to walk in about 2–3 months.
Read Full AnswerParents’ concerns are understandable, but after 18 months the bones and muscles have often adapted to a malpositioned hip. Forced closed reduction is usually unsuccessful and, even if achieved, carries a high risk of redislocation, possible secondary osteotomy, and increased pressure that may lead to femoral head necrosis.
Read Full AnswerOnce the doctor has confirmed that the reduction was successful, a single fall or normal jumping and running will not immediately cause another dislocation. Parents do not need to worry that an active child will experience recurrent dislocation simply because they like to move.
Read Full AnswerFor newborns, the harness should be applied once the diagnosis is confirmed. Although a Pavlik harness looks simple, fitting follows strict procedures and must be guided by a specialist. It is usually replaced every 3–4 weeks as the child grows. Ultrasound reassessment at 3 weeks checks hip reduction and stability; if reduction is not achieved, other treatment methods should be used.
Read Full AnswerAbout 90% of cases of developmental dysplasia of the hip at this age can be cured with a Pavlik harness. If the hip is completely dislocated from the acetabulum and the femoral head cannot be manually reduced by the doctor, Pavlik harness treatment is unlikely to succeed. If reduction is not achieved or the child is over 6 months old, closed reduction may be considered.
Read Full AnswerPlease book in advance and we will arrange the right specialist for you