- 1Tires, splints
2Types of bone fractures, types of tires
- 2.1Types of fractures
- 2.2Types of fractures of bones
- 2.3Types of tires for fractures
- 3Open library of educational information
4Indications for the use of Vilenskiy tires and types of structures
- 4.1Indications for use
- 4.2Dysplasia and dislocations
- 4.3Proper wearing of the tire
- 4.4Pros and cons of the device
Tires, splinting.Tires- a device designed to immobilize the body parts for injuries and diseases of bones, joints and soft tissues.
Splinting- Immobilization with tires.
Transport standard tires serve for temporary immobilization when providing first aid to the injured and when transporting them to the surgical or traumatological hospital (and in military field conditions - at the stage of providing qualified, specialized surgical assistance).
Healing tires are used for prolonged fixation in the most advantageous position before the healing of the damaged area, sometimes with the extension of bone fragments.
Immobility can also be achieved by transport and medical tire bandages (longi and circular), made of gypsum or plastics (viniplast, etc.).
First aid is sometimes used in the absence of standard tires for improvised tires (for example, from plywood, planks, cane, etc.):
- Transport tires often count for several types of damage (for example, the same tire for hip, thigh and knee joint fractures);
- therapeutic - to fix and treat damage of one particular type and localization (for example, an abduction tire for the treatment of shoulder injuries).
In the case of limb injuries, the following requirements are imposed:
- for fractures, the tire should be of such length that it grasps at least two adjacent joints (one to the center and the other to the periphery from the fracture site);
- when transporting the immobilization of the limb, if possible, give a physiological position (if at least an incomplete reposition of the fragments), taking into account the direction axes of joints and planes in which movements occur; The tire must be strong and at the same time should not cause any traumatic pressure on the underlying tissue.
For this purpose, it is lined with a soft litter, especially in those areas where it is in contact with the bony protuberances (eg, ankles, condyles).
Fractures of individual phalanges of the fingers of the hand are fixed with improvised or standard tires. The fingers of the brush should be fixed on a cylindrical support surface, which is achieved by the so-called drum tire or simple a tight bandage on a spherical or cylindrical wad of cotton wool or on a bottle using warm water as a physiotherapeutic agent.
When flexing the contractures of the fingers, brushes are treated with medical tires, for example the Mommsen lyre
To immobilize various kinds of fractures, phalanges of fingers and metacarpals in VNIIHAI, a set of tires of different sizes has been developed.
The set includes cross-shaped, trough-shaped, wedge-shaped, plate-like, CITO tires, tires for physiological positioning, for stretching (according to V. A. Mikhalenko).
Tires bend on the physically established fingers of a healthy brush, and then put on the damaged fingers and fixed with bandages.
The plate duraluminium tires of the kit immobilize fingers in fractures of the nail and middle phalanx, cross-shaped embrace the finger from four sides, gutter - on the palmar and back sides, wedge - from the palmar and lateral surfaces, bending its end to the rear of the nail phalanx finger. Tires for giving a physiological position are used for immobilization of fractures of phalanges and metacarpal bones after operations on the hand. For treatment by the method of skeletal traction in the set, there are pins made of stainless steel and tires made of duralumin.
Improvised fixation of the brush:
- on a wad of cotton wool;
- on the bottle.
A set of VNIIHAI tires for the immobilization of hand fractures:
- a set of plate tires;
- pins for skeletal traction; 3 - tires for traction (according to Mikhalenko);
- tires L-shaped;
- the tire is wedge-shaped;
- tires duralumin with a foam coating to give the brush a physiological position;
- an awl-borer;
- cross-shaped buses;
- tires trough-shaped;
- tires T-shaped CITO.
Application of tires from the VNIIHAI set for immobilization in cases of fractures of the phalanges of the fingers of the hand and metacarpal bones:
- immobilization of the finger with a trough-shaped tire;
- immobilization of the finger with a wedge-shaped tire;
- use of a plate-like tire to give a brush a physiological position;
- immobilization of the finger with a L-shaped tire;
- treatment of fractures of phalanges of fingers of a brush on a tire for extension; 6 - Immobilization of the finger by a straight long bus.
Longets in case of joint damage:
gypsum or viniplastovy longet with damage in the area of the wrist joint;
- gypsum or plastic longe if damaged in the area of the brush.
- Triangle Gakkera from the wire tire Cramer (part of the tire, designed for the forearm, is set in the position of pronation).
- Fixation of the shoulder in the retracted position by the Cramer bus.
Overlapping of the Cramer transport bus in case of damage to the shoulder and elbow joints and humerus:
- reinforcement of the upper end of the tire;
- the tire is superimposed.
- The abduction tire of Belera, made from five bars of the Cramer tire.
- Abduction tire Korneva from one strip of the Kramer tire.
Gypsum and viniplastovye longiets are necessary for injuries in the field of wrist and hand.
Fractures of the bones of the forearm and elbow joint are fixed when first aid is provided on the Gakker triangle, made from the Cramer wire ladder. The strips of this tire have dimensions of 100 × 10 cm or 75 × 7 cm. The same tire serves for transport and therapeutic immobilization of fractures of the humerus and shoulder joint in the allotted position.
When providing first aid, Cramer tires are applied. The abduction tire of Belera is bandaged, made of five strips of the Cramer tire. A similar kind of tire P. G. Kornev is more simple.
In case of fractures of the clavicle, the Belera bus is used, representing a plywood board with semi-oval cuttings at both ends.
The secret of S. is more perfect. I.Kuzminsky (models for adults and for children), representing a sliding frame with arcs that have soft skin. Fractures of the bones of the upper limb, V. AND. Ivanov, A. YU. Sozon-Yaroshevich, V. FROM. Aleinikov and others.
Tires for clavicle fractures:
- the tire of Belera;
- superimposed tire of Belera;
- tire Kuzminsky.
Transport immobilization in case of foot, ankle and shin injuries.
Thomas bus with a loose and unbuttoned ring:
- bus bar;
- on the tire is a canvas hammock.
Transport splinting in case of foot, knee and shin injuries usually Cramer, plywood, cardboard tires and gypsum limestones superimposed to the middle hips.
It is necessary to bend the bus accordingly to the bulge of the heel and calf muscles. In fractures of the middle and upper third of the lower leg, the Thomas bus and its modifications are used (Ternovsky, Lardennoy, Vinogradov, Goncharov).
It consists of a folding metal ring entwined with a soft litter and two metal rods running off from it, connected at the lower end of the tire.
Between these rods stretched fabric hammocks that support the thigh and lower leg while the ring worn on the leg rests on the sciatic tubercle and pubic bone in the perineal region.
Thomas's tire is usually worn over clothes and shoes and reinforced with bandages. Extension limbs produce shoes in the ankles with the help of hinges and cuffs.
However, the bus of Thomas and its modifications, as a rule, do not give reliable immobilization or give only short-term and incomplete.
Therefore, fractures of the bones of the lower limb, hip and knee joints should resort to splinting with standard tires such as Diterichs and Tofilo. The Diterikhs' spike consists of two sliding (on pegs) wooden strips of various lengths: a long It is adjacent to the outer side of the hip and trunk to the armpit, and the short one to the inner side of the thigh before perineum. At the peripheral end of the short band there is a movable plank attached to the hinge. It serves to connect to a long tire strip where there is a peg for this. At the foot, the ends of the wooden strips are connected to the wooden sole by side brackets. To the sole is attached a double cord with a twist for stretching.
- 1 - general view;
- 2 - superimposed tire.
The Tofilo tire (the plantar part of the tire is not shown).
Pankov's tire for fixing the limb for fractures of the thigh and lower leg.
Therapeutic tire of Belera for fixing fractures of the thigh and lower leg.
Therapeutic Pankova tire for limb fixation for hip and lower leg fractures; extension. Fig. 21. Transport tires Pankova for immobilization of the spine: 1 - individual sections of the tire; 2 - a tire assembled from three sections.
Transport immobilization of penetrating wounds of the skull.
Elansky bus for transport immobilization of the head.
The lack of the Dieterichs bus - limb deflection - is eliminated in the Tofilo tricuspid tire
Unlike the Thomas bus and its modifications, the Pankov transport bus (Fig. 18) fixes the limb in a semi-bent position and with a small lead. In this case, the limb is fixed simultaneously to the trunk, and to a healthy limb.
The tire consists of a sliding double-decker frame with a telescopic base, equipped with stoppers, screw clamps, and two folding rods. The medical tire with skeletal traction in fractures of the thigh and lower leg, according to Beler, is widespread.
Another type - the Pankov's medical tire, unlike the Belerovsky, allows you to change the position of the limb in the hip and knee joints for the purpose of repositioning fractures and medical gymnastics while maintaining the alignment of the thrust direction along the shin axis and hips.
The Pankov tire is sliding and can therefore be used in adults and children. For transport immobilization of the spine in VNIIHAI it was developed (on the proposal of V. A.
Pankova) tire in the form of a shield composed of three identical interchangeable corrugated sections of duralumin. When joining sections, the projections of one of them enter the windows of the other.
The middle section is always displaced along the longitudinal axis relative to the side sections; the amount of displacement is set along the length of the patient's body. The protruding end of the middle section serves simultaneously as a head restraint.
The lower niche between the two side sections allows the patient to use the vessel without removing the tire.
Depending on the indications, the tire is mounted in the form of a shield for immobilizing the spine or in the form of a long outer section and a short inner section - when fixing fractures of the lower limb. When the skull is damaged, transport immobilization is carried out with two Cramer tires. One is modeled in the sagittal direction (from the level of the superciliary arches to the waist), and the second is placed in the front direction through the vertex and to both shoulder-blades. Tire with a good cotton bed is tightly banded. Another type of transport tire for the same purpose is the folding wooden Elanskiy tire.
Transport tires: a - Diterikhsa; b) Cramer; c and d are plywood; д - ж - improvised.
Tires are devices for immobilization in case of injuries and diseases of bones, joints and soft tissues. Shinning - the overlap of tires to prevent the displacement of fragments, ensure rest, reduce pain.
There are different types of transport tires used for first aid, and medical tires that provide peace of limbs for special treatment. Transport tires can be standard or improvised.
Of the standard tires, the most common are Cramer wire staircases, the Dieterichs tire, board or plywood strips (Fig. 1, a - d).
The Cramer wire has a certain flexibility and can be bent in the right direction, providing a firm fixation in any position.
Standard transport tires are available in various lengths and widths in such a way that they can be used for immobilization in case of damage to any location and at any age. Improvised transport buses are manufactured directly from the place of the accident from the handy material - boards, plywood, metal rod, stick, bundle of branches, sheaf, cardboard, etc. A set of transport tires is an essential part of the first aid kit.
The tire must be of such length that it can fix at least two joints - above and below the place of damage. In some cases it is necessary to fix a larger number of joints (for example, when splitting the spine).
Peace is ensured only if the tire is firmly and securely attached to undamaged parts of the body. Before imposing the tire (independently standard it or improvised) it is necessary to wrap it with a thin layer of cotton wool.
Splinting at a fracture of the spine is provided by laying the victim on a hard shield, which is performed carefully, without turning and bending the patient.
Lay the victim three together: two kneel on the side of the victim, shoved hands - one under the hip and thighs, another under the waist and back - and slightly lifted, the third, being on the opposite side, pushes under the patient shield.
At a fracture of a basin of the patient put on a board a back, legs or foots bend in knee and hip joints and raise some.
In the popliteal fossa, a rolled roll of clothing or a pillow is placed.
With a fracture with a violation of the integrity of the pelvic ring to prevent the displacement of fragments, splinting is performed, as in fracture of both hips.
A source: http://www.medical-enc.ru/24/shinirovanie.shtml
Types of bone fractures, types of tires
In this article, you will learn about what kinds of fractures people have, how they differ, how they are called, etc.
Types of bone fractures can be different, even though they can look the same for not armed eye, you will learn about this in the article, as well as about the types of tires in fractures and the types and signs fractures.
Types of fractures
Fracture of bone tissue is one of the main and most common injuries. Naturally, bruises are clearly leading in the frequency of occurrence, but, nevertheless, the trauma departments are simply overcrowded with the victims with a diagnosisbone fractures.
This trauma is seasonal in nature, and most often occurs in the winter. In medicine, there are many classifications and subspecies of this diagnosis.
The types and signs of bone fractures of various parts of the body have their own characteristic symptoms and characteristics, which affects the methods of first aid and further treatment.
It should be noted that the risk group includes elderly people. This is due to age-related changes. With age, the bones become brittle because they do not get enough nutrients.
This is associated with poor nutrition and lack of mobility. Even if a person takes a whole pack of calcium on the day, his bones will not become stronger, because the body regulates the amount of intake of substances, and the rest he simply displays.
For calcium to enter the bone, you need to move.
Types of fractures of bones
There are two main types of bone fracture: pathological and traumatic. Pathological fractures occur with the action of some pathological process. In most cases, this applies to malignant tumors of the bone or ordinary cyst.
As a result, a gradual destruction of the structure of bone tissue occurs, and even minor loads can break it.
As for traumatic fractures, they arise due to the sudden and sharp impact of mechanical shock force on a healthy bone.
The clinic distinguishes between open and closed types of fractures. The first kind involves damage to the skin and all the structures that are under it (nerves, muscle fibers, ligaments, vessels), in addition to the usual destruction of bone.
As a result - bleeding of varying intensity, pain shock, sweating blood and even death. This is in most cases a complex pathology that leads to various complications and complicates the treatment process.
Another type is closed fractures. They are not accompanied by damage to the outer covers and flow much easier.
Operative treatment will be required only if it is a fracture with a displacement and the doctor can not perform a closed reposition of bone fragments.
Also distinguish complete and incomplete fractures. Incomplete manifest as a crack, fracture or holey bone effect.
Complete - this fracture of the bone into two parts, which is often accompanied by the displacement of fragments, as a result of the influence of a negative factor or a critical reduction in surrounding muscles.
Perhaps, this is the main criterion for the application of further treatment. For example, for multiple fracture with displacement, surgical intervention or the use of skeletal traction is indicated.
Types of bone fractures can still be complicated and uncomplicated. Uncomplicated fractures do not show additional traumas or disorders of the body. Complicated are severe fractures that can threaten even a person's life.
The most common complications are:
- traumatic shock, which can cause the development of coma in the victim
- damage to blood vessels. It manifests itself in the form of pulsating hematoma or profuse bleeding.
If the patient loses a lot of blood (if untimely first aid is given), he may die, so the damage to blood vessels, especially the main arteries, is a very dangerous complication.
Without departing from the topic, you can add hemorrhagic shock, which occurs when a large amount of blood is lost, which leads to a decrease in the volume of circulating blood. As a result - loss of consciousness, and with the late provision of medical care - a fatal outcome.
- - nerve damage, which may be accompanied by partial or complete paralysis of the patient
- - damage to vital organs and systems: the brain and spinal cord, kidney, lungs, etc.
If you are interested in the types of fractures of the bones of the species - "fracture of the arm "fracture of the leg etc., then youhere.
Types of tires for fractures
The most important point that influences the further process of treatment is first aid.
Depending on the degree of injury and the type of fracture, first aid may include various methods and methods, but the most constant and mandatory is the application of the tire.
The tire is applied for preventive purposes, that is, to avoid the occurrence of additional problems. The word "tire" means a special design, which can be made of any material and have a different purpose.
All types of tires in fractures play a major role - immobilization (fixation) of the damaged area of the body in the desired position. Immobilization is carried out to prevent complications and favorable transportation to the hospital.
There are two main tires of a universal nature: the tire of Cramer and Ditex. The first type of tire is made of flexible iron, which allows it to be used in the most unusual situations, most often it concerns the fracture of the lower leg and forearm.
The Ditex bus is presented in the form of a stable wooden structure, but differs by its strong fixation. There is also a pneumatic tire that has a one-piece body, where a damaged limb is embedded.
On the sides there are special openings for air circulation.
For fractures of the neck use the tire collar of Shantz. It is presented in the form of a soft fixator of the cervical spine and ensures immobilization during transportation of the victim to the hospital.
This tire limits the extension, bending and rotation of the neck. The tire can be made even in field conditions: take two sticks or boards, then firmly fix it with a cloth or bandage.
A source: http://medglaz.ru/vidy-perelomov-kostej-vidy-shin.html
Open library of educational information
Question No. 20. Pre-medical care activities.
First aid includes:
- checking the correctness of the application and, with the utmost importance, the correction of the imposed bandages, harnesses, immobilization;
- the application of an aseptic dressing, a tourniquet͵ if this has not been done before;
- overlay of standard tires with poor immobilization or lack thereof:
- elimination of asphyxia (toilet mouth and nasopharynx, with the extremely important introduction of the duct, inhalation of oxygen, artificial ventilation of the lungs);
- administration of painkillers;
- repeated administration of antidotes according to indications;
- carrying out additional partial sanitization (with the utmost importance);
- the simplest measures to combat shock (heating at low temperatures, giving hot tea, the introduction of painkillers, cardiovascular drugs and drugs that stimulate breathing).
Transport immobilization- creation of immovability (rest) of the damaged part of the body by means of transport tires or improvised means for the time being extremely important for transporting the victim from the place of injury to the medical institution.
Transport immobilization is carried out directly on the scene. Carrying the victim with fractures and extensive damage, even for a short distance, without good transport immobilization is dangerous and unacceptable.
Transport immobilization is indicated with open and closed injuries, accompanied by:
- fractures of bones;
- ruptures of tendons;
- damage to the joints;
- damage to large vessels and nerves;
- extensive damage to soft tissues;
- extensive and deep burns;
- acute purulent-inflammatory diseases on the limbs.
Fractures of bones.They are accompanied by the formation of two large fragments of bone and small bone fragments.
Without properly performing transport immobilization, the ends of bone fragments are constantly shifted during transportation and additional trauma is caused by sharp edges.
Bone fragments can damage a large vessel or nerve in the fracture region, pierce the skin with a closed fracture. This leads to increased pain, the development of traumatic shock, the occurrence of bleeding, contributes to the development of infection in the wound.
Damage to the joints (bruises of the joints, damage to the ligaments, dislocations, subluxations).Ligament ruptures are accompanied by excessive mobility of the joint, dislocations and subluxations.
In the absence or lack of transport immobilization, this leads to increased pain, kinks and compression of large vessels and nerves, contributes to the development of infectious complications in the damaged the joint.
Tendon ruptures.They lead to marked violations of limb function. Transport immobilization prevents significant divergence of the ends of the damaged tendon and improves the results of treatment.
Damage to large vessels.Damage to a large blood vessel is accompanied by a significant blood loss up to, - 2 liters.
In the event that such an injured person does not have transport immobilization, even minor painful absurdities often contribute to the development of severe traumatic shock.
The separation formed in the blood vessel of the thrombus will lead to the resumption of bleeding or pulmonary embolism and the death of the victim.
Damage to large nerves.It is accompanied by a violation of sensitivity and active movements in the injured limb.
Absence of immobilization during transportation leads to additional injury to the damaged nerve, increased pain, which contributes to the development of traumatic shock.
Extensive damage to soft tissues.They lead to the crushing of the skin, subcutaneous adipose tissue, muscles with the formation of tissue necrosis areas.
Extensive wounds are accompanied by contamination of the earth, scraps of clothing.
In the absence of rest, all this leads to strong pain and rapid spread of infection, the resumption of bleeding.
Detachments of the extremities.Usually accompanied by significant damage to bones, muscles, skin and subcutaneous tissue, severe pain, bleeding, and often shock phenomena. The wound of the stump, as a rule, is abundantly polluted.
Transport immobilization of the affected limb prevents deterioration of the patient's condition, the possibility of developing severe complications (the resumption of bleeding, the formation of extensive hematomas stump, the spread and development of infection in the wound and other)
Extensive burns.They are accompanied by considerable pain and burn shock. Transport immobilization of a burn-affected limb reduces pain, prevents the development of shock.
Acute inflammatory processes of the extremities.
The lack of rest during transportation, in a patient with purulent-inflammatory diseases of the limbs, leads to increased pain, promotes the spread of purulent process. This leads to a worsening of the patient's condition, complicates further treatment.
Τᴀᴋᴎᴍ ᴏϬᴩᴀᴈᴏᴍ, timely and high-quality transport immobilization warns:
- ¨ development of traumatic and burn shock;
- ¨ worsening of the condition of the victim;
- ¨ turning a closed fracture into an open one;
- ¨ resumption of bleeding in the wound;
- ¨ damage to large blood vessels and nerve trunks;
- ¨ the spread and development of infection in the area of damage.
The main means of transport immobilization are various tires.
There are means of transport immobilization standard, non-standard and improvised (from improvised means).
Standard transport buses- ϶ᴛᴏ means of immobilization of industrial production.
Today, there are widely used: plywood tires, ladder tires, plastic tires, sling-like.
The standard transport tires also include: medical pneumatic tires, plastic tires, stretchers immobilizing vacuum.
Non-standard transport buses- these tires are not manufactured by the medical industry and are used in separate medical institutions (Elanskogo tire, etc.).
Improvised Tiresare made from various improvised means.
Standard transport tires.Plywood tire.It is made of sheet plywood, curved in the form of a trough.
They produce plywood tires with a length of 125 cm. and 70 cm.
Οʜᴎ cheap, have a small weight, but because of the lack of plasticity they can not be modeled in the shape of the limb and make a reliable fixation.
They are used mainly for immobilization of the wrist joint, hands and as side additional tires.
Technique of application.Choose a tire of extremely important length.
If you want to shorten it, cut the surface layers of plywood on both sides with a knife and, for example, laying on the edge of the table along the incision line, break off a piece of tires of extremely important length. Then a layer of gray wool is laid on the concave surface, the tire is placed on the damaged limb and bandaged.
The tire is a staircase (Cramer).
It is a metal frame in the form of a rectangle made of wire with a diameter of 5 mm, transverse direction in the form of a ladder with a gap of 3 cm stretched a thinner wire with a diameter of 2 mm.
Ladder tires are produced in length 120 cm, width 11 cm, weight, kg and length 80 cm, width 8 cm, weight, kᴦ. The tire is easily modeled, has a high plasticity, is easily disinfected.
Modeling- ϶ᴛᴏ the process of changing the shape of the tire according to the shape and position of that part of the body to which this tire will be applied.
Technique of application.Pick up the prepared tire for the desired length. With the utmost importance to shorten the tire unnecessary part of it is bent.
In the event that it is extremely important to have a longer tire, then the two ladder tires are connected to each other, putting an end to one another.
Then the tire is modeled, respectively, of the damaged part of the body, applied to it and pribintovyvayut.
The tire is plastic sling. It is used for transport immobilization in fractures and injuries of the lower jaw.
It consists of two basic parts: a rigid chin sling, made of plastic, and a cloth supporting cap with rubber loops running away from it.
Technique of application.The supporting cloth cap is put on the head and strengthened with ribbons, the ends of which are connected in the forehead.
A plastic sling is lined with a layer of gray compress cotton wool wrapped in a piece of gauze or bandage. Sling is applied to the lower jaw and connected to the supporting cap with the help of the elastics leaving it.
To hold the sling, it is usually sufficient to use one middle or back rubber loop on each side.
A source: http://oplib.ru/random/view/1027712
Indications for the use of Vilenskiy tires and types of structures
Many parents, after discovering the child's birth defects, begin to panic, instead of taking the necessary measures.
Medicine develops techniques, not only to save the child from the symptoms of the disease, but also to cure him, giving a chance for a full life.
Complicated pregnancy or injury to the joints during childbirth leads to an unpleasant consequence - dislocation hip joint or threatened with dysplasia, that is, hypoplasia of the hip joints and the condition subluxations.The treatment of these pathologies is based on the imposition of a special design on the hips, and it is called the Vilenskii bus.
The technique has been used for more than a decade and, despite this, is popular with modern doctors.
Correctly installed Vilensky tire allows at an early age to strengthen and form the correct structure of the child's thigh, to avoid disability in the future.
The design is used both in the infant, from 2 weeks after birth, and children of one-year-old age. The absence of complex structures, control units makes the Vilensk bus safe to use.
It consists of a spacer, which is made of aluminum and stainless steel, as well as cuffs made of leather. The Vilenskii bus is worn for a day for a long time.
Indications for use
Among the indications for wearing a tire, dysplasia of the hip joints is on the first place. If you do not treat this pathology, then the child will have a delay in the development of the joint apparatus and in the future a violation of the gait.
Also, the tire is used for congenital hip dislocations, viral deformations in the neck of the thigh, and lateralization in the head of the hip bone.
If after birth changes in the structure of the musculoskeletal system are noted, the doctor conducts diagnostics and decides whether it is necessary to use the structure.
Wearing a tire is prescribed by an orthopedic pediatrician after carrying out the necessary studies, he also sets the period of wearing and picks up the dimensions of the structure.
Since the Vilenskiy tire can be removed from the hip or other joints for a certain period of time, the instruction should be well studied by the parents. This is necessary to facilitate the process of donning the structure correctly, for successful treatment.
Bathing the child is carried out daily, so the design is often removed. It is also necessary to study the rules of bathing a child with dysplasia and joint dislocations.
There are three design variants in terms of characteristics and dimensions:
- Children from birth and up to 3-4 months are small in size, so that the limbs are diluted by 16-23 cm.
- The average size of the tire is shown to the child from four months and up to a year, thus the leg spread occurs at a level of 23-33 cm.
- Allocate a large size in cases where it is necessary to treat a child older than a year. In such situations, you should wear a tire at an average of 30-50 cm.
If you wear the design correctly, then the optimal centralization of the femoral head at the site of the acetabulum of the pelvic bones will be ensured.
The child may not have dysplasia of the hip joints, but other pathologies, in which the treatment is fundamentally different.
Dysplasia and dislocations
Dysplasia is the main indication for wearing a tire. There is a diagnosis for a number of reasons.
The disease is often recorded with pelvic presentation of the fetus, if the child is in a womb of large sizes.
Also, dysplasia has properties that are inherited. It is dangerous to develop a diagnosis of toxicosis in pregnant women.
It is the presence of risk factors that gives a chance to the doctor immediately after birth to establish supervision over the child, including the condition of his hip joints. The main signs of dysplasia:
- The dislocated arrangement of the folds in the region of the hip joints. An examination by a doctor will help to identify abnormalities.
- Different length of legs - a symptom occurs when a hip dislocation is formed.
- Violated mobility of the affected joint, that is, when the leg is heard, a click is heard and the difference in the movements of the joints is visible.
To confirm the diagnosis, an X-ray examination is prescribed, after which treatment with massage, physiotherapy and wearing a tire is necessary. In cases where there is a dislocation of the hip, wearing the structure is necessary after its adjustment to prevent re-injury of the joint.
Proper wearing of the tire
It is important to properly wear a tire for the treatment of hip joints, since insufficient fixation or slip on clothes will lead to ineffectiveness of the procedure, and the child will lose time and chance at recovery.
The doctor, having studied the results of the survey, indicates the height of the arrangement of the structure.
The procedure for dressing the tire is not complicated, after several samples from the parents, manipulations will be carried out with ease, and the child will get used to the process. To put the tire on your feet, you need to put the child on a hard surface on your back.
After this, the legs are bred and the leather straps are alternately rolled, after which the Vilensky bus is fixed at the right distance.
After the construction is fixed, it is necessary to observe the child, so that during movements there is no process of slipping the structure along the legs.
It is necessary to wear the tire during the day and it is allowed to take it off for the period of bathing.
The total period during which the treatment is performed takes 3-4 to 9 months.
The decision to cancel the wearing of the tire rests with the doctor.
For a certain period of wearing should be strengthened joints, correcting dislocations of the hip joints, cured dysplasia.
If the design is used at the age of about a year or older, then the child can start walking with the tire on his legs.
Despite the progress in medicine and the introduction of modern technology, the tire continues to be popular, so as there is no negative effect on the feet, this gives the child the chance to move with his feet and does not delay him development.
Pros and cons of the device
There are no significant contraindications to wearing a tire, it can not be used for unremovable congenital hip dislocations. Also the design is appointed only in the presence of indications and after examination in the medical institution. Self-treatment is not allowed.
Wearing a tire can cause some discomfort in the child, but a long period of use leads to the child becoming accustomed to such a condition. Treatment with a design gives an opportunity to develop normally for children up to a year, which is an undoubted plus.
From the recommendations it is worth highlighting the need for an individual selection of spacers, since, in addition to standard sizes, you can order an individual tire.
It is important to choose comfortable clothes so that the construction does not slip and tightly fixes the child's legs. Even if it seems to parents that the baby is healthy and enough time has passed, the doctor can only cancel the wearing of the tire.
It is not recommended to use the structure for less than 4 months.
A source: http://drpozvonkov.ru/pozvonochnik/bolezni/dorsopathies/shina-vilenskogo.html