Hip abduction orthosis factsheet
Introduction
The Dennis Brown Hip Abduction Orthosis helps keep a child’s hips in a good position while they grow. It is used to treat developmental dysplasia of the hips, also called “clicky hips,” in babies.
The orthosis is often used after a hip spica, a large plaster cast that covers the legs from the ankles to the bellybutton. It can also be used before or after a Pavlik harness, a type of brace with straps for the shoulders and chest.
About this device
The orthosis has two cuffs that fit around the thighs. These cuffs are connected by a bar that holds the hips and knees apart. This helps the hip and thigh bones line up correctly and strengthens the muscles and ligaments.
The device is made from metal coated with plastic. It is lined with foam that feels like a pool noodle, and it stays in place with hook-and-loop tape fasteners, also known as Velcro.
Care of the device
Follow the tips below to care for your child’s orthosis:
- wash the orthosis with warm soapy water and dry it with a towel. do not use heat to dry it, as this can damage the device
- if your child’s doctor says the brace can be removed, clean it once daily and make sure it is dry before putting it back on
- if you cannot remove the brace, wipe the inside of the thigh cuffs with a damp cloth and dry with a towel
- to prevent skin irritation from sweat, clean the device regularly and place a thin cotton layer, like a singlet or stockinet, between the skin and the orthosis.
When to seek help
Contact your child’s doctor if you need help adjusting the orthosis. Their doctor will tell you when your child should wear the device and when it can be removed.
Management
Taking care of the skin
If your child cannot remove the orthosis, give them sponge baths. If they can take off the device for bathing, make sure their skin is completely dry before putting it back on. Pay special attention to skin folds around the thighs where moisture can get trapped.
Check your child’s skin often for any redness or irritation from rubbing or sweat. Speak to your child’s doctor as soon as possible if their skin is broken or irritated.
Do not use any creams, powders, or oils under the orthosis. These can soften the skin and trap sweat, causing irritation or skin damage.
The thigh and stomach bands are made from soft metal and can be adjusted as your child grows. Make sure the straps are tight enough to keep the device in place without rubbing.
Clothing
Your child can wear nappies as usual with the hip abduction orthosis. Choose loose or stretchy clothing to cover it.
Some clothing brands make swaddles and sleep sacks that fit well over the device and are “hip brace friendly”.
