DE3216141A1 - Active hip abduction bandage for babies - Google Patents

Abstract

Active hip abduction bandage for the early treatment of congenital hip dysplasia and luxation in babies in the form of a transversely reinforced blank which widens toward the centre, is cushioned along the side edges, has shoulder straps and a chest belt and with cushioned bending-holding wedges which can be detachably fastened in the caudodorsal region.

Description

"Active spreading pants for babies"

The invention relates to active spreading pants for early treatment congenital hip dysplasia and dislocation in infants, in the form of a Cross-stiffened cut that widens towards the middle and is padded along the side edges with shoulder straps and a chest band.

Such spreading bandages are widely used in medical technology, by gently splaying the lower extremities and releasing movement the normal development of the hip joint in the abductor treatment position should cause. The hips were passively in the hips in the previously common spreading trousers brought the spread position and held there with thigh ligaments. So could the head necrosis is reduced, but not completely avoided, apparently because Even through the gentle passive abduction, there is still dangerous tissue tension generated and maintained with the thigh ligaments.

A more safe spreading treatment results from induction the therapeutic abduction position actively through the body's own muscle forces under reflective Maintaining the pain threshold with the possibility intermittent evasive movements. This is with the specially developed for this Active spreading panties are possible, which are characterized by diverging downwards Cutting of the abdomen and elimination of the thigh ligaments. The diverging margin the panties are quilted with webbing straps that fit directly into the shoulder straps can pass over, while the abdominal and back part of the panties only by high-seated lateral chest straps are held together.

Despite the advantages of these active spreading panties, there is still one certain inadequacy in that that which exists after the splitting has been brought about Flexion at just under 900 is a bit low, especially when in the buttocks area thick diaper packages are worn and a strong femoral neck torsion of the femoral head aligns cranially.

The invention is therefore based on the object of an active spreading panty of the type mentioned in such a way that a greater permanent inflection while maintaining the advantages in terms of movement possibilities of the Child is guaranteed.

To solve this problem, an active spreading panty is marked by means of padded flexion hold-up wedges that can be detachably attached in the caudo-dorsal area.

By means of such flexion-lead wedges, for example the lance-shaped Foam wedges can be with a waterproof plastic coating, can achieve a greater permanent inflection in a very simple way, whereby - in binding with a provided according to a further feature of the present invention longitudinal and cross-adjustability of the flexion-hold-wedges - also in a particularly simple way an exact adjustment to the size of the child can be done in this way and set the desired support right up to the knee area with and the same cut can be guaranteed over a longer period of time, since you only need to move the flexion-lead-wedges accordingly.

This displacement can be particularly useful in an embodiment of the invention simply by providing a hook and loop fastener, i.e. hook and loop fasteners both on the underside of the wedges and - there, however, preferably as a loop tape -fixed in the area of the side edge of the blank.

Such a Velcro fastener allows not only a very simple one Adjustment of the bracket, but also very easy replacement in particular the flexion-hold-wedges.

It can be particularly useful for active spreading pants to provide a set of different strengths of such flexion lead-in wedges to in this way a transition according to the progress made during the treatment to other wedge thicknesses and thus to be able to change the inflection.

Further advantages, features and details of the invention result can be derived from the following description of an exemplary embodiment and based on the drawing. The figures show: FIG. 1 a perspective view of expanding panties with the flexion hold-up wedges removed, Fig. 2 is a plan view on the unfolded panties, with the left one to illustrate the attachment Bend-lead-wedge is only indicated by dash-dotted lines, Fig. 3 an enlarged Section along the line III-III in Fig. 2 and Fig. 4, a child with an inventive Active spreading panties to illustrate the increased flexion achieved.

The shown active spreading pants consist of a flexible plastic cut-out 1, the diverging side edges of which are stitched by means of straps 2 and 3, which can pass directly into the shoulder straps 4 and 5. The belly part 6 and the back part 7 of the panties are only provided by high side chest straps 8.9 held with continuously adjustable Velcro fasteners.

According to the invention are on the inside of these active spreading pants in caudo-dorsal area Velcro or fleece strips 10 attached to flexion hold-up wedges 11 detachably hold with the help of counter Velcro strips 12 attached to their underside to be able to. The attachment by such a Velcro fastener has the advantage that both in the longitudinal direction and in the transverse direction of the spreading pants adjustability of the wedges 11 is possible, so that - compare in particular FIG. 4 - an optimal one Adjustment to the respective leg length of the child can be made. It also enables this easily detachable and adjustable Velcro fastener also allows for a set Flexion-hold-wedges of varying strengths to keep the treatment progressing change the amount of increased inflection provided by these wedges can.

The bent-lead wedges 11, which are approximately lance-shaped, are made from a foam core 13 and a waterproof plastic casing 14. In 15 the padding for the side edges of the blank 1 can be seen. Opposite to the minimal flexion, dashed in FIG. 4, as in the previous active spreading panties is given and from the active movement of the child while kicking a Greater inflection is created without great constraint, ensure the invention Bend-lead-wedges 11 a larger permanent inflection, through which there is a stronger alignment of the muscular thrust forces against the socket base and consequently there is also a greater relief of the pan roof.

The invention is not limited to the illustrated embodiment. In particular, it would also be possible to use a different one instead of the Velcro fastener Type of holder, for example a snap fastener with various adjustment options to be provided.

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Claims (5)

Active spreader pants for the early treatment of the congenital Hip dysplasia and dislocation in infants, in the form of a along the side edges padded cross-stiffened cut with shoulder straps and a chest band, characterized by detachably attachable in the caudo-dorsal area padded flexion hold-up wedges (11). 2. Active spreading pants according to claim 1, characterized in that the Bending hold wedges (11) adjustable in the longitudinal and transverse directions of the blank (1) are. 3. Active spreading pants according to claim 1 or 2, characterized in that that the flexion hold-up wedges (11) are held by means of a Velcro fastener (10, 12) are. 4. Active spreading pants according to one of claims 1 to 3, characterized in that that the approximately lance-shaped flexion-holding wedges (11) made of foam (13) with a consist of a waterproof plastic coating (14). 5. Active spreading pants according to one of claims 1 to 4, characterized by a set of flexion hold-off wedges of different strengths (11).