What to do if the baby's hip bones are asymmetrical

Babies have hip asymmetry, which is a congenital disease caused by genetics. However, this disease can still be effectively treated through certain methods. Generally speaking, the methods for treating congenital hip dysplasia are divided into conservative treatment, surgical treatment and dietary health care. Below, we will introduce the treatment methods for congenital hip dysplasia.

1. Conservative treatment

Theoretical basis of conservative treatment: The theoretical basis of conservative treatment is Harris's law, that is, head and acetabulum concentricity is the basic condition for hip joint development. In order to achieve stability of the hip joint after reduction, the following conditions must be met:

① Choose a posture that maintains the stability of the hip joint. The traditional frog position is the most ideal posture, but it is not conducive to the blood supply to the femoral head.

② Choose a brace, splint or plaster fixation according to the different ages of the patients. It should be stable, comfortable, convenient, and easy to manage urine and stool. It is best to keep the hip joint properly active.

③ Choose the most suitable age for hip joint development. The younger the better, generally under 3 years old.

④ The head and acetabulum should be proportional. If the proportion is unbalanced, the stability of the hip joint cannot be maintained, and even treatment failure may occur.

⑤ Maintain reduction for a certain period of time to allow the joint capsule to shrink back to nearly normal and prevent dislocation after the fixation is removed. It usually takes 3 to 6 months. The younger the patient is, the shorter the fixation time will be.

2. Surgical treatment

(1) Salter pelvic osteotomy: In addition to repositioning the femoral head, the Salter operation mainly changes the abnormal acetabulum direction to a normal physiological direction, relatively increases the acetabulum depth, and makes the femoral head and acetabulum concentric.

(2) Pemberton acetabuloplasty: Pemberton acetabuloplasty is a procedure that involves performing an osteotomy 1 to 1.5 cm above the superior rim of the acetabulum parallel to the acetabular roof slope, prying the acetabular end upward and downward to change the inclination of the acetabular roof, allowing the acetabulum to fully encompass the femoral head and allowing the acetabulum to achieve a normal shape.

3. Diet and health care

Specific dietary recommendations require consulting a doctor based on symptoms, eating a reasonable diet, and ensuring comprehensive and balanced nutrition.

The diet should be light, eat more vegetables and fruits, quit smoking and drinking, and eat less spicy and irritating food.