They may need treatment. If your healthcare provider has concerns about possible DDH, he or she may recommend that your baby go to an orthopedist for evaluation. Sometimes the evaluation can involve an ultrasound of the baby's hips. If your baby has DDH, the orthopedist will probably recommend a device such as a Pavlik harness to encourage your baby's hips to develop normally. Girls and breech babies have the highest risk for DDH. It also runs in some families.
It is more common in first-born babies. Healthcare providers sometimes use a Pavlik harness for femur fractures in infants younger than 6 months. The harness helps hold the baby's leg still so that the bone can heal. Pavlik harness treatment is usually successful in treating DDH. But sometimes complications can occur. They may include:. The most common complication is skin problems. You can reduce the risk for these skin problems by keeping all appointments and having the straps of the harness adjusted by the orthopedist as needed.
Only the orthopedist should adjust the straps. If nerve problems develop, they typically go away on their own. If the Pavlik harness is not successful, your child may need a rigid brace instead. You should not need to do much to prepare for your child's Pavlik harness treatment. Your baby may need to wear the harness for several months. During this time, it will be important to keep your baby's skin clean and dry.
That will include changing diapers often. Consider stocking up on leak-proof diapers. Also ask what type of clothes to bring when you take your baby in for the first fitting. Your baby will need regular follow-up visits for harness adjustments and monitoring as he or she continues to grow. The Pavlik harness is a soft splint with a number of straps that fasten.
It consists of a chest strap and leg straps. The chest strap goes across the baby's back and reaches around to close in the front. The leg straps attach to the front of the body strap, loop under each foot, cross over in the back, and attach to the top of the body strap. The mean age at PH initiation was 1. Conclusions: Patients who had PH initiation before 30 days of age were no more or less likely to fail than when PH was initiated after 30 days of age.
Parents can be counseled that waiting until after 30 days of age is appropriate before PH implementation. By avoiding swaddling during this period, the hips may stabilize without treatment and allow for more parental-infant bonding before implementation of PH. For more information, see: www. Bathing and hygiene Keep the harness dry at all times unless your surgeon tells you otherwise.
This means normal showers are not an option. Use sponge bathing to keep your child as clean as possible. Your child will develop red areas on their shoulders, lower limbs and chest. If you want to weigh your baby, subtract the weight of the harness from the scale display for close to accurate weight of your child. Contact us immediately if you notice the harness appears too tight a rash developing you are unable to dry the skin.
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