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The effect of an abduction splint during onset of walking in children on the maturation of dysplastic hips remains unclear.
Postoperative treatment followed a standardized protocol involving 6 weeks of immobilization in an abduction splint accompanied by passive physiotherapy.
Differences in regressions between the no splint group and the abduction splint group were compared using an analysis of covariance.
This may be due to a less aggressive postoperative treatment involving 6 weeks of immobilization in an abduction splint and passive rehabilitation.
The goal of this study was to assess the effect of an abduction splint during onset of walking age in children on the maturation of dysplastic hips.
For treatment of Graf class IIb hips at age of walking onset an abduction splint with ball and socket joints was introduced, allowing patterns as walking and crawling under constant abduction control.
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Abduction splints for the treatment of hip dysplasia normally operate on curbing the legs at the hip flexion and abduction.
Our main finding is that NIH leads to a higher acetabular index compared to neonatally stable hips at 1 year of age despite early treatment with abduction splinting.
For treatment of Graf class IIb dysplastic hips at walking onset a treatment concept with abduction splints allowing patterns as walking and crawling under constant abduction control was investigated.
However, as the splint still incapacitates child movements the research question remains whether the physiologically progressing maturation of hips can be significantly altered using such abduction splints for walking children.
It has previously been stated that treatment with abduction splinting leads to normalization of the hip in most cases (at 5-year follow-up of children born 1970 1979) (Dunn et al. 1985).
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