Tubingen hip flexion and abduction orthosis
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Benefits at a glance
The position that your baby assumes when wearing the Tubingen hip flexion and abduction orthosis is familiar to them. This was previously their favoured position in the womb. It usually ensures optimum development of the hip joints. If this doesn’t occur as it should, the orthosis corrects the problem after birth.
Very easy to use
During the initial fitting of the Tubingen hip flexion and abduction orthosis, your doctor will explain exactly how the orthosis works to correct hip dysplasia and how to apply it. Only operate the hook-and-loop closure and the white clips. After just a short time, putting it on will feel as normal as changing a nappy.
It’s completely normal for babies to resist their new companion at first. They may cry more frequently in the first few days and appear fussy. After just a few days, your baby will get used to the orthosis. If they continue to resist it, talk to your doctor.
The Tubingen hip flexion and abduction orthosis has been successfully used to treat hip dysplasia for over 30 years. In Germany, it is by far the most frequently used orthosis. Its effectiveness has been scientifically proven.
Suitable for everyday use
The Tubingen hip flexion and abduction orthosis is designed in such a way that it can easily be worn anytime and anywhere – whether your baby is in an infant carrier, a child seat or going swimming. It is completely washable and even resistant to salt water, making it a reliable companion for your baby’s first swim in the sea as well.
Clinical picture and treatment
What is hip dysplasia?
Some babies’ hip joints do not develop as they should if they are in an unfavourable position in the womb. This can mean that the bone development of the acetabulum is incomplete or that the socket itself is too shallow. As a result, the head of the thigh bone is not covered by the socket as it should be.
Hip dysplasia is usually diagnosed using sonography (an ultrasound examination). It is important to act quickly if this condition is diagnosed. The sooner the undeveloped joint is treated, the better the healing process will be. This is where the Tubingen hip flexion and abduction orthosis comes into play. When babies wear the splint, they assume a position that promotes the natural development process of the joints. The hip can develop, and there is no long-term damage such as osteoarthritis in young adulthood.
Getting used to the orthosis requires consistency!
“Parents, it’s worth being strict! Especially for your child’s sake. Because if you don’t apply the orthosis as your doctor has prescribed, this may result in one or both of the femoral heads becoming dislocated from the sockets. Immature hip joints that are not sufficiently treated can cause premature wearing of the cartilage and subsequently osteoarthritis when your child is a young adult. This often requires hip surgery later on.” Dr Heiko Lorenz, Paediatric Orthopaedist, Göttingen University Hospital
More than one quarter of a million babies around the world have worn the Tubingen hip flexion and abduction orthosis since the late 1980s. Numerous studies prove the excellent treatment outcomes. Your baby’s hips will develop normally if you use the orthosis consistently. The more consistent you are now, the easier things will be for your baby.
Treatment for hip dysplasia
The Tubingen hip flexion and abduction orthosis for treating hip dysplasia causes your baby’s hips to flex at more than 90° while both of the legs are spread (abducted) by 30 to 45°. Your doctor will use regular ultrasound exams (every six weeks or so) to monitor the healing process. These exams are used to measure the angle between the head and socket of the joint. The doctor will also check the position of the femoral head and the extent to which the socket is still deformed. Based on these exams, they can determine when and how often the orthosis needs to be readjusted. Once the hip measurements have reached the normal range (typically between the sixth and eighth week), the process of “weaning” your baby off the orthosis begins. In other words, your doctor gradually reduces the amount of time your baby wears the orthosis. At first, it is removed during the day and worn only at night. Your doctor will decide when you can stop using the orthosis entirely. Then the final checkup takes place, which usually involves taking an X-ray of the pelvis.
Information for parents – Tubinger Hip Abduction Orthosis
The information gives parents information on how to put on the orthosis. In the poster format, important elements of the orthosis are depicted and the individual application steps are shown. In addition, useful information and care tips are given.
Most babies get used to the new situation very quickly (1 or 2 days). Some babies do protest and need more time. Should your baby fight the orthosis for a long time, talk to your doctor and have the orthosis checked.
Normally, the hip flexion and abduction orthosis should be worn day and night – that is, for about 23 hours a day (except when changing and bathing).
Yes, with a pillow behind it your baby can easily lie diagonally on its side.
Yes, this is no problem with modern child seats. Just be sure that the belt is below the spreader bar.
You can hold your baby just like you normally would. There is nothing special to be aware of when cuddling or in any other situation. It is important for you as the parent to know that the Tübingen hip flexion and abduction orthosis is not unpleasant for your baby and is for the best.
Direct use in water is no problem thanks to the chosen plastic material and it can be easily dried using a dry cloth. The terry cloth covers and hook-and-loop closures are also designed for contact with water, but have to air dry as well.
It will be more comfortable for your child if the splint is worn over clothing. If your child is wearing only light clothing, such as a bodysuit, please use the textile covers available at your medical supply shop for the leg splints.
Quite the contrary. Kicking generally strengthens the back musculature. In fact, babies develop a stronger back compared to their peers who have not worn an orthosis.
The hip flexion orthosis itself is washable. You can easily remove and wash the terry cloth covers of the shoulder harness. A pair of terry cloth covers and replacement hook-and-loop are included in the package.