In medical literature, congenital hip dislocation is presented as hip joint dysplasia. This is a congenital pathology in which a child experiences impaired formation of intra-articular elements. Due to such changes, the head of the bone does not fit snugly against the surface of the acetabulum. For this reason, the joint becomes pathologically mobile, leading to dislocation.
Among the causes of congenital hip pathologies, the following are noted:
- severe toxemia during pregnancy;
- insufficient amniotic fluid;
- premature birth;
- disruption of blood circulation in the placenta;
- diabetes in the pregnant woman;
- pelvic presentation;
- large fetal mass and size;
- other reasons.
According to medical statistics, congenital hip dislocation is most commonly found in girls and firstborn children in the family. Notably, in some cases, dislocation can develop in the first year of the child's life when there are factors disrupting the physiological development of the hip joint.
Treatment
At Ichilov, both conservative and surgical methods are used to treat congenital hip pathologies. Surgical methods for treating congenital hip dislocation in Israel include the following types of operations:
- Open reduction of dislocation. The essence of the operation is to eliminate the congenital defect. The doctor accesses the pathologically altered joint, then the head is repositioned into the acetabulum. A plastic surgery of the ligamentous apparatus and capsule is also performed.
- Closed reduction of dislocation. This treatment method cannot be classified as surgical since no incisions are made. The doctor uses specific manipulations to reposition the head of the femur into the acetabulum, placing it in a physiologically correct position. After this procedure, a cast or other elements (such as Pavlik harness) that restrict movement of the hip joint are typically applied.
- Proximal surgery. This is a corrective surgical method in which the doctor excises bone material in such a way that the head of the femur fully corresponds with the joint cavity.
- Corrective surgery of the acetabulum. Another variant of corrective surgery, but on the acetabulum. During the operation, defects such as flattening or deformation of the joint are eliminated.
- Traction. This treatment method involves the doctor fixing the bones in the correct position, after which weights are suspended from the limb. Thanks to the traction effect, proper fixation of the joint elements occurs.
- Joint arthroplasty. This is a last resort, applied when other treatment methods for hip dysplasia are ineffective. In this case, an artificial joint is used, which functions similarly to a natural joint. At Ichilov, joint arthroplasties utilize prostheses from leading global manufacturers. These prostheses are made from high-strength materials and have good biocompatibility.
Conservative methods used at Ichilov include:
- Medication treatment – intake of vitamins and chondroprotectors.
- Therapeutic gymnastics – exercises that strengthen the ligaments and muscles of the pelvis.
- Therapeutic massage of the gluteal and lumbar regions.
- Swaddling – a specific swaddling technique that supports the child's legs at a certain angle.
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Diagnosis of Congenital Hip Dislocation in Israel
The diagnosis of this pathology does not pose significant difficulty for Israeli doctors. A comprehensive set of instrumental studies allows for an accurate diagnosis and the appointment of the optimal treatment option. The diagnosis of the disease typically lasts 3 days.
First Day – Doctor Consultation
The diagnosis begins with an examination of the child by the attending physician. Notably, a consultation with an Israeli specialist can also be obtained remotely, without visiting Israel. It is sufficient to send all medical documentation, based on which the Israeli specialist from Ichilov will express their opinion. If you later decide to receive treatment at Ichilov, the initial examination will be free of charge. After the examination, the doctor refers the child for instrumental studies.
Second Day – Diagnosis
The standard scheme for instrumental diagnosis is as follows:
- X-ray;
- Ultrasound;
- CT;
- MRI.
Third Day – Doctors' Conclusion
After completing all diagnostic procedures, the expert group of doctors at Ichilov establishes the diagnosis and determines the treatment strategy.
Treatment of Congenital Hip Dislocation in Israel: Prices
Ichilov offers the most favorable price/quality ratio for its patients. If a child requires treatment for congenital hip dislocation in Israel, the cost of this procedure will be announced after the second day of diagnosis, when the doctors will understand the volume of medical procedures involved.
Prices depend on the choice of specific treatment methods. The most expensive option is arthroplasty, which will cost between 16,000 and 18,000 US dollars.
Advantages of Treatment at Ichilov
By choosing Ichilov for treatment, you gain the following advantages:
- Treatment by highly qualified doctors, many of whom are renowned specialists in the country.
- High-tech equipment. This is especially important to emphasize regarding limb and joint surgery. In their practice, the surgeons at Ichilov employ minimally invasive techniques that do not involve significant blood loss and trauma.
- Russian-speaking staff. Many doctors at Ichilov are fluent in Russian, so you will not have communication problems, which is very important. However, if necessary, we provide our patients with a professional translator.