The timing of some common congenital limb deformities in children: 1, congenital clubfoot: 2 weeks after birth can go to the hospital, by the children’s orthopedic surgeon in accordance with the Ponseti method for systematic treatment.
2, congenital hip dislocation: after birth to six months old infants and toddlers, once the diagnosis is clear by the pediatric orthopedic surgeon, you can use wide diapers or Pavlik sling for treatment and follow the doctor’s requirements for review.
3, congenital myotonic levator: once the diagnosis is made by the doctor after birth, the contracted muscle stretching exercise can be started under the guidance of the doctor to reduce the muscle contracture and the resulting facial deformation, and surgery can be performed at the age of about 1 year.
4, congenital syndactyly: is a common hand deformity, mostly bilateral. The timing of surgery should be determined by the severity of the syndactyly. For children with mild syndactyly or incomplete syndactyly, surgery should be performed after 18 months of age to prevent the hand development from being affected by the simultaneous growth of the fingers and the scars formed by the surgery. However, in the case of severe syndactyly, the surgery should be performed within 6 to 12 months after birth.
According to the 1982 report of the International Society for Surgery of the Hand Congenital Malformations, the incidence of congenital malformations of the hand is about 11/10,000, and these data come from seven research centers located in the United Kingdom, Japan and the United States. The incidence of polydactyly is approximately 1/3000, with radial, central, and ulnar polydactyly; of these, there are seven types of thumb polydactyly according to the Wassel classification, which is complex to diagnose and treat. In general, simple polydactyly surgery can be performed within 1 year of age. Complex polydactyly, such as double thumb deformity or split thumb deformity, can be operated on at about 18 months of age, depending on the situation.
6, congenital spina bifida: It is a developmental malformation of the nervous system that requires surgery. If the bulging dura is found to have ruptured after birth, surgery should be performed promptly. Other in the early by the specialist to clarify the diagnosis and the appropriate time of surgical treatment to prevent the lesion to continue to develop. In cases of congenital hydrocephalus, cerebrospinal fluid shunts are performed at the same time as, or before or after, the management of spina bifida.