Which is better: the Frejka pillow or Pavlik's stirrups?
From the first months of life after birth, baby needs attention. The development of bone and muscle tissue occurs constantly, and now he is already taking the first steps around the room. At this point, it is important to pay attention to how the child puts his feet. If he limps or rolls over, it may indicate the presence of hip dysplasia.
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The exact causes of the manifestation of pathology are unknown, so parents should be especially careful in monitoring the baby. Doctors identify predisposing factors:
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genetic predisposition (transmitted more often through the female line);
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an excess of progesterone in women before childbirth (impairs the development of ligaments and muscles in the child);
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limited mobility of the fetus in the uterus due to incorrect position;
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maternal diseases and negative factors at the stage of pregnancy;
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prematurity (tissues did not have time to develop properly).
In 80% of cases, dysplasia occurs in girls. If the mother had problems in childhood, then the child can manifest them. Strengthen negative factors of the disease, prematurity of the fetus, impaired hormonal levels.
What is prescribed?
Today, the issue of treatment of hip dysplasia is well studied, so a number of effective methods are used. For these purposes, the Frejka pillow or Pavlik's stirrups are used, allowing the baby’s legs to be held in the divorced position. This contributes to the proper development of the musculoskeletal tissues and the formation of functionality. It remains only to decide which of these devices are better and how they differ from each other.
The Frejka Pillow and Pavlik Stirrups are used for similar tasks:
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keeping the femoral head in the correct position;
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strengthening the ligaments and muscles of the hip joint;
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stimulating the development of the acetabulum and the femoral head.
As soon as studies established how exactly dysplasia should be treated in babies, various specialists began to develop devices for this.
Pavlik's stirrups
The device, created by the Czech orthopedic surgeon Arnold Pavlik, rigidly fixes the baby's legs in the divorced position. He cannot straighten them out or bring them together. The device in the current version is a system of bandages and straps that fit on the child’s chest and shoulders, and are fastened with straps to the ankle.
Pavlik's stirrups should be used only under the control of an orthopedist who selects the optimal length. Adaptation takes 3-4 days, during which the straps are tightened to the desired length. The amplitude of breeding the legs is maintained throughout the entire wear. The rate of complications does not exceed 15%.
Virtues
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tight fixation of the legs in the correct position;
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treatment of severe cases of dysplasia;
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recommended up to 1 year;
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ease of length adjustment;
disadvantages
- risk of dislocation of the femoral head due to the nature of the attachment.
Pavlik's stirrups are recognized as an effective treatment for hip dysplasia in various manifestations. But regular observation by an orthopedic surgeon is required, which reveals deviations in development. While wearing, the stirrups must remain dry, otherwise they will roughly affect the skin of the baby.
Freyka Pillow
Frejka pillow hooks under the knees and locks the legs in a bent position. The kid takes the form of a "frog" in which the muscles develop properly. Adaptation contributes to the spontaneous reduction of dislocation without complex and dangerous effects. It is a tight roller, located between the baby's knees, and fixed in a physiologically correct position with special straps.
Freik's tire is recommended for use at early stages of development - from 1 to 3 months. If suspicion of developmental abnormalities arises, the pediatrician sends an orthopedic surgeon, who conducts an ultrasound examination and X-ray. Self-treatment is not allowed.
Virtues
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gentle effect on the baby;
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there is no adaptation period;
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allowed to shoot;
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soft and comfortable tire;
disadvantages
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movement restriction;
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Only suitable for light cases.
Frejka pillows are appointed by experts in the first six months of a baby’s life and are more prophylactic than full treatment. This is especially true of difficult situations with dislocations and subluxations of the hip. Studies show that Freink's perinkas cause complications in 15% of cases - slightly more than Pavlik's stirrups, but still it is a low figure.
How long to wear?
Freyka pillow is recommended to wear from 12 to 24 hours a day, depending on the instructions of the doctor. The total length of the course for infants is not more than 2 months. The earlier the deviations are revealed, the easier and faster the treatment is. In certain situations, as a preventive measure, Freink is prescribed for up to 1.5-2 years.
Like any orthopedic tool, it should be worn constantly. It is allowed to shoot only in some cases:
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diaper replacement;
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bathing and mandatory water procedures;
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wellness massage;
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Physiotherapeutic procedures appointed by the doctor.
The baby spends the rest of his free time with fixed legs. Throughout the period, the orthopedist regularly inspects the infant baby. An ultrasound examination is recommended every two weeks to determine the degree of change.
The main difference and disadvantage of Pavlik’s stirrups is the need for constant wear, especially in the first month. In this regard, they are prescribed only for dislocations and subluxations after 6 months from birth. Due to limitations there are difficulties with common procedures - bathing, changing a diaper, changing clothes.
Parents should follow the recommendations of experts:
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wear a disposable diaper under the stirrups, immediately remove the shorts, sliders, tights and other clothes;
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when replacing the diaper, try not to raise the baby's legs, but just put your hands under the hips;
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Stirrup straps must remain dry, otherwise they will rub the skin, regularly inspect the baby to see damage;
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reddened areas must be treated and massaged to prevent bruising;
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due to difficulties with bathing, it is better to use a wet sponge and wipe the baby several times a day;
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pick up loose suits and dresses to wear over the stirrups;
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loosen the fixing belt on the chest during and after feeding for 1 hour.
Throughout the entire period, the treatment of baby dislocations should be laid only on hard mattresses without pillows.
Since this is a systematic correction of violations of the hip joint, it is important to systematically follow the recommendations of the doctors. Regardless of what device is used, it must be worn for the entire term.Parents pity kids, so they remove bandages, but this leads to a shift and loss of all positive progress. It is important to remember that this will help get rid of serious complications in the future, it is necessary for his health.
We select the size correctly
To save your baby from discomfort, follow the instructions for use, regularly undergo examination by a doctor, correctly select the size of bandages. Frejka pillows are available with a label according to the age of the child and indicating the distance between the divorced legs. Approximately the same system in Pavlik's stirrups:
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0 size - for children from 3 months, up to 60 cm tall, up to 5 kg;
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1 size - for children from 6 months, up to 60 cm, up to 8 kg;
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2 size - for children up to 1 year, up to 75 cm, up to 11 kg;
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3 size - for children up to 15 months, up to 85 cm, up to 10-12 kg;
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4 size - for children under 1.5 years old, up to 95 cm, up to 13 kg.
The orthopedic surgeon will help you to choose the right size and determine the distance to spread the baby’s legs. In this case, the discomfort is reduced to a minimum, and the treatment is effective.
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Attention! This material is the subjective opinion of the authors of the project and is not a guide to purchase.