Name of the Procedure:

• Common Name(s): Hip Abduction Orthosis
• Technical/Medical Terms: Hip orthosis, abduction control of hip joints, static, adjustable, (ILFeld Type)

Summary

A hip abduction orthosis is a pre-fabricated medical device designed to stabilize the hip joints. It is adjustable and includes fitting and adjustment by a healthcare professional to ensure proper function and comfort.

Purpose

This orthosis is used to manage conditions where controlling hip movement is essential, such as post-surgical recovery, hip dysplasia, or certain neuromuscular conditions. The primary goal is to maintain proper hip alignment, alleviate pain, and prevent further injury or deformity.

Indications

• Post-surgical stabilization of the hip joint.
• Management of hip dysplasia or dislocation.
• Conditions requiring limited hip joint movement (e.g., Legg-Calvé-Perthes Disease).
• Neuromuscular disorders affecting the hip stability.

Preparation

• Pre-procedure instructions may not require fasting or special medication adjustments, but patients should wear loose-fitting clothing.
• A thorough hip examination and diagnostic imaging (e.g., X-ray, MRI) may be conducted to ensure appropriateness and proper alignment of the orthosis.

Procedure Description

1. A healthcare professional, usually an orthotist, conducts an initial assessment to determine the fit and adjustments required.
2. The prefabricated orthosis is sized and fitted to the patient’s hip, ensuring comfort while achieving the desired level of abduction (separation of the hip joints).
3. Adjustments are made to secure the device and to ensure it addresses the specific medical issue.
4. Detailed instructions on how to wear and manage the orthosis are provided to the patient or caregiver, including removing and cleaning the device.

Tools, Equipment, or Technology Used

• Prefabricated hip abduction orthosis (ILFeld Type)
• Adjustment tools (e.g., straps, fasteners)

Anesthesia or Sedation

Not typically required.

Duration

The fitting and adjustment session usually lasts between 30 minutes to 1 hour.

Setting

This procedure is typically performed in an outpatient clinic or orthotics office.

Personnel

• Orthotist or Physical Therapist
• Possibly an Occupational Therapist for extensive training in mobility and device management

Risks and Complications

• Skin irritation or pressure sores
• Discomfort from improper fit
• Potential limited mobility or stiffness in the hip joint
• Rare: Damage to skin or underlying tissue from prolonged incorrect usage

Benefits

• Improved hip alignment and stability
• Reduced risk of hip dislocation
• Decreased pain in the hip joint
• Aid in recovery and rehabilitation post-surgery

Recovery

• Patients are usually able to resume daily activities immediately, following provided guidelines.
• Regular follow-up appointments (e.g., every 4-6 weeks) may be necessary to adjust the fit and assess the condition of the hip.
• Instructions may include physical therapy exercises to maintain or improve hip mobility.

Alternatives

• Observation or Watchful Waiting: Monitoring the condition without immediate treatment.
• Surgical Intervention: More invasive option, often considered for severe cases or when other treatments fail.
• Physical Therapy Alone: May be sufficient for mild conditions without the need for an orthosis.
• Medication: Pain relief and anti-inflammatory drugs to manage symptoms.

Patient Experience

• Initial discomfort as the body adjusts to the orthosis.
• Little to no pain expected; minor soreness around the fitting area is common.
• Over time, users generally report improved stability and decreased pain, contributing to a better overall quality of life.