leg brace

DTP surgery is indicated in children over 12-24 months of age when conservative treatment is ineffective or futile (in the opinion of the attending physician) and when the hip is completely dislocated.

Hip dysplasia in children

Orthosis for hip dysplasia in children in the first year of life. It is part of the standard of care in Germany and other European countries.

The well-known orthopedist Bob Sel-ter (Toronto, Canada) has shown in his research that the child's hip joint develops best under conditions that are as close as possible to the natural conditions for its formation created in the womb. He also coined the term 'natural position' (human position), i.e. the position of the fetus in the womb when its legs are firmly bent and slightly spread. The prerequisite for the successful treatment of hip dysplasia (developmental disorder) in children in the first year of life is maintaining the following foot position:

The most important features of the Tubinger orthosis:

• Proven treatment method with proven effectiveness.
• Parents are highly willing to work with the therapist because the orthosis is reliable and easy to use.
• The flexion and abduction angle is easily reproducible when reapplying the orthosis without the need for additional adjustments.
• The lightweight and comfortable design allows the child to move actively within the permitted range of motion.
• The orthosis is waterproof and resistant to salt water.

Shaping and development of the hip joint. The process of ossification (settlement) of the hip ring begins in the early fetal period with the formation of ossification nuclei in the hip, ischial and pubic bones. All three ossification nuclei then fuse in the middle of the hip socket. Ossification of the inner part of the hip bone occurs first, followed by ossification of the outer part as a result of the unipolar movement of the growth plate toward the acetabulum. Ossification of the acetabulum can be significantly impaired if the direction of shear forces acting from the femoral head on the growth plate is reversed during ossification, such as: B. in a non-clavicular position. Delayed ossification requiring treatment may be present at birth. Before birth, the legs of the fetus are more or less fixed in a bent position, and immediately after that the newborn begins to actively move upright. Only an acetabulum with a sufficient degree of ossification can withstand such a load. After birth, the various stages of ossification of the hip socket are determined using ultrasound and classified according to Graf's hip maturity scale. By the beginning of the baby's 3rd month of life, the hip socket is fully formed. From this point on, the femoral head and acetabulum mature more proportionally.

Brief overview of the anatomy of the hip joint

The hip joint is the connection between the pelvis and the hip bone. It is formed by inserting the femoral head into the cup-shaped acetabulum of the hip bone and is therefore multiaxial, that is, capable of multidirectional movement, including rotational movements.

In the human body, the main function of the hip joint is to enable motor activities such as walking, running, jumping, etc. If this joint is congenitally underdeveloped (incomplete), motor activity is limited to such an extent that independent movement is completely impossible.

Causes of congenital hip dislocation

The main and essentially only cause of congenital hip dislocation is hip dysplasia (hip dysplasia), a congenital defect of the joint that creates the prerequisite for dislocation. It is important to understand that hip dysplasia is not a hip dislocation, but in practice the two terms are almost synonymous since DTS always results in HIP of varying degrees and HIP does not occur without DTS.

There are the following forms of hip dysplasia:

1. The joint socket has edges that are too sloping or depth is too shallow, so that the femoral head is not properly fixed.
2. The geometry of the joint in the horizontal plane is disturbed, so that the joint does not function properly because the axis of movement of the femoral head does not coincide with the axis of the acetabulum.
3. The joint sac that stabilizes the joint does not fulfill its stabilizing function.

Both forms of DTS result in the hip joint no longer being able to cope with the stress, which either leads to the femoral head dislocating from the hip socket or to the development of coxarthrosis (hip osteoarthritis) with slow destruction of the joint due to uneven loading.

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Plastic and metal, as well as soft and hard. Unilateral fabric orthoses, an unforgettable thrill!

Under the foot Autopole spacers, there is a light brown one, so the equalizer doesn't put it on the foot like a sock. A silicone pad is hidden under the fabric in the area of the thumb bone. The size of the fabric allows the use of a splitter and a gel thumb stop to quickly straighten bent knee joints.

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Seat from which they are made, under the back. Mega anatomically shaped polyurethane toe pads. See our article Variety of Toe Pads. Toe protectors vary in wearing time and material, discounts!

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You can buy orthopedic intertoe insoles, thumb correctors and other orthopedic health accessories in the Medtekhnika online store via the website or by phone. Selection of orthopedic insoles or thumb correctors for the foot and toe (thumb or first toe, color beige). Orthopedic silicone insoles for the toes. Orthopedic insoles for shoes for heel spurs. Flip flops at great prices on AliExpress. Discounts, static deformities find toe separators. Correctors for the big toe. Compensating pieces for the big toe. RCA pins. Silicone toe separator, silicone 'bone' toe separator also protects the small toe joints from stress and cushions them when walking. The products are divided into 4 groups based on the purpose Forta silicone toe tube, silicone plugs and adapters, the type of condition:

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Silicone. For example, a foot pad. Toe deformities are often called toe adapters from 8 companies at the best prices in Moscow Catalog with prices and photos Compare and buy the best of 48 proposals on Satom.ru. Find out more about silicone spacers in the video:

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Shop online and on the new AliExpress app. Buy Practice Health CP16 silicone toe protection tube. The soft, hypoallergenic silicone material is almost indestructible when worn. The insoles and insoles are suitable for supporting the transverse arch of the foot. To correct the toe distance, cushions with different stiffness are used - buy them in the OZON online shop at affordable prices!

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Choosing the right pillow

The height of the product is the most important parameter for selection. You will need a pillow with a head size of 78×50 cm and a height of 22 cm for heavier and taller people; 65×50 cm and a height of 16 cm for smaller and lighter people.

It is best to choose models with adjustable and removable elements - such a pillow can always be adjusted to your needs. When it comes to stiffness, it is best to choose the medium level as it is universal.

Orthopedic Foot Pillow - a unique product that supports your spine, hips and knees at any angle. After resting on this pillow, you will immediately feel the pain disappear and the swelling in your legs decrease. It's like an ambulance - it relieves you of muscle cramps and leg pain and gives a tired person long-awaited comfort and relaxation.

Head of the Ortix training center, specialist in orthopedics, general practitioner

contraindications

Do not use orthopedic devices without a doctor's recommendation. If parents suspect that their child was not properly examined at birth, they should contact their pediatrician. Self-treatment of non-existent dysplasia can lead to bowed legs and the development of valgus joint deformities. The Frekeh pillow is not suitable for therapy in the following cases:

• skin abnormalities that recur;
• Congenital or acquired hip dislocation;
• Diseases in which it is not possible to fully stretch the child's legs to the sides.

The pillow should not be used if the child has an individual intolerance to the materials used to make the pillow. In the clinical picture this manifests itself as an allergic reaction, e.g. B. in the form of hives.

Why use an interdigital orthosis?

The silicone interdigital orthosis is used to gradually correct the orthosis, smooth the foot, fill the space and improve the quality of life:

• It relieves pressure on the foot, relieves discomfort and reduces fatigue when walking;
• Prevents the formation of calluses, corns and abrasions;
• Gradually restores all functions of the forefoot
• relieves pain when walking.

When is it recommended to purchase orthopedic toe liners?

During the examination, the orthopedist assesses the patient's condition and can prescribe a spacer even in the event of minor anomalies. The most common recommendation is to order a custom-made toe spacer. for the following diseases:

• corns, cracks and blisters;
• bunion of the first toe;
• flat feet;
• bony overgrowth of the foot;
• Toe deformities.

Custom-made orthopedic toe separators can be ordered from Heratsi Medical Center. An experienced and professional podiatrist and trauma surgeon will work with the patient to make a personal diagnosis and create the orthosis. The cost of this service is 1,300 rubles.

How the orthoses are made

In order to achieve the best possible adaptation to the shape of the foot, a plastic material is required. We use medical-grade silicone that allows us to perfectly recreate any curvature while gently lengthening the deformed toe areas. Even if the toe is already curled over another, it can be gently unwound and adjusted to the new position.

Experience and sufficient knowledge are required to produce such a product. A severely deformed joint cannot be changed all at once - it is a long and laborious work during which the doctor must carefully control the acceptable dimensions of the correction without compromising the patient's comfort. The patient must wear the braces daily and provide the necessary care, as well as adhere to a strict schedule of appointments with the specialist and subsequent changes.

It begins with a consultation with an orthopedist, during which reference points for the alignment of the foot are determined and an initial option for the start of recovery is determined. The condition is assessed using a plantographer and the results are recorded in a history to understand the dynamics of change. Scheduled rehabilitation usually takes place every six months.

Why you should have surgery from an orthopedist instead of buying a toe splinter at the store. Silicone orthoses are quite common in specialist salons and are better than nothing. But if true regeneration is the goal, you have to be aware that mass production cannot take your individual characteristics into account. These are extremely important and are therefore adjusted every six months because your own foot also changes.

Care of the interdigital toe orthosis

The silicone toe orthosis must be worn every day from morning to evening. Therefore, some care is required, namely daily washing with a soap solution or disinfectant and then drying with a cloth.

Description and purpose of the thumb splint

A thumb splint is an orthopedic device designed to hold bony structures in an anatomically correct position. The design of the orthosis usually includes a fastening system - Velcro, buttons or straps. The basis of the orthosis is a frame made of plastic, silicone or soft, dense fabric. Rigid attachment devices are designed to immobilize the thumb. Soft bandages only slightly restrict movement.

Doctors recommend wearing bandages for proper tissue adhesion after injuries and for correction of deformities. They are used to reduce the severity of joint pain and prevent the spread of the inflammatory or degenerative process to healthy cartilage, bones and ligaments.

indications

Wearing a rigid orthosis is one of the main methods of conservative treatment of valgus deformities of the foot. Orthoses are also used in rheumatoid, reactive and infectious arthritis in the acute and subacute phases to reduce the severity of symptoms. Their use is indicated for the following diseases:

Wearing orthotics helps prevent further joint deformation in flat feet, especially transverse flat feet. The use of orthoses is indicated in the postoperative period to accelerate recovery from injury.

Rigid orthoses are becoming a good alternative to plaster casts and bandages for use after fractures, dislocations, partial or complete tears of ligaments and tendons.

Hip orthosis

Hip orthoses are special orthopedic devices that are used to relieve pressure on the joint in the event of illness or injury. With an orthosis, the joint can no longer collapse during movement, the pain is relieved and recovery is much faster. The hip orthosis must have a good fixation function. The more severe the pathology, the stronger the fixation must be. Therefore, the orthosis should only be selected by a specialist after an examination so that the treatment is as effective as possible. Yusupov Hospital employs highly qualified specialists who conduct a high-quality examination and prescribe the appropriate treatment.

Wearing a hip bandage

The hip joint is constantly under a lot of stress, and once an injury occurs, it is difficult to heal. This can be a mechanical injury or an inflammatory degenerative process, which is more common in older people. In these cases, treatment usually begins with medication, and if the joint is broken or dislocated, the doctor may also recommend surgery. At Yusupov Hospital, comprehensive and timely treatment is carried out to restore and heal the pelvis so that further disorders do not occur. A hip brace helps prevent re-injury if the muscles are still weak. This is especially true for older people, as the hip joint has a very difficult time recovering. This is mainly due to poor blood circulation. A hip orthosis is used to fix the hip joint in a certain position. The orthosis is considered a relatively new aid that is beginning to replace the plaster cast. It is removable, which is more comfortable for the patient, and its degree of stiffness can be adjusted individually depending on the pathology. Historically, when a patient has sustained a serious injury and requires maximum immobilization of the hip joint, a cast was used to prevent movement. Today, this is replaced by a rigid orthosis that perfectly immobilizes the joint and allows walking, which is a great improvement since blood circulation improves when walking and the patient recovers quickly. Soft orthoses can be used for inflammation and partially stabilize the pelvis and prevent it from collapsing.

• joint injuries;
• femoral neck fractures;
• tendon tears;
• Rehabilitation period after an operation or after the implantation of an endoprosthesis;
• Broken bones.

Such a bandage should only be selected by a doctor, since it is necessary to know exactly what degree of immobilization will achieve the desired effect. The highly qualified doctors of the Yusupov Hospital select the required splint based on the individual parameters of the patient.

• big toe splitter.
• toe pads.
• shortening of the hip.
• Legs of different lengths in a child.
• Leg splint for newborns.
• external rotation of the hip.
• What are knee braces?.
• The child has a shorter leg than the other.