Frejka pillow: for what and to whom it is intended25.05.2022
The Frejka pillow (otherwise – spacers, braces, bandage, etc.) is a soft orthopedic device intended for newborns with a diagnosis of hip dysplasia. It is usually used to treat dysplasia of the first two degrees. Only a doctor can prescribe a Frejka pillow, who will conduct a thorough examination of the newborn and establish indications and contraindications for its use.
Hip joints in a newborn: norm and pathology
Before talking about the Freik pillow and the features of its use, a few words should be said about the pathology for which it was invented.
What is considered normal development of the hip joint
Normally, the head of the femur is covered by the articular cavity and does not go beyond it. This is true for newborns as well. However, his hip joints, even in normal conditions, are not mature: the articular cavities are flatter and more vertical than in an adult, and the ligaments of the joints are mobile due to their elasticity.
Hip dysplasia, or congenital hip dislocation, is a congenital inferiority of the hip joint (more often than one, less often both), resulting from its abnormal development and capable of leading (or already leading) to subluxation or dislocation of the femoral head.
Dysplasia is considered not only directly dislocation, but also pre-dislocation and subluxation of the hip, that is, different degrees of severity of this pathology.
- 1 degree of dysplasia – pre-dislocation: there is an irregular shape of the articular cavity and / or the head and neck of the femur, but at the same time the head is covered by the articular cavity, there is no displacement.
- Grade 2 – subluxation: in addition to the irregular shape of the glenoid cavity and / or the head and neck of the femur, the head is displaced outward.
- Grade 3 – dislocation: with an irregular shape of all elements of the joint, the connection of the articular surfaces is disrupted – the femoral head falls out of the articular cavity and shifts to the side and up.
Only a doctor can determine the presence or absence of this pathology. To do this, newborn babies are examined even in the hospital, sometimes an X-ray examination is performed. If dysplasia is detected, treatment is prescribed immediately.
Treatment of dysplasia
Treatment of hip dysplasia in a newborn is strictly individual, taking into account the degree of the disease, the age of the baby and its other features.
In most cases, therapy is carried out by conservative methods, including physiotherapy, therapeutic exercises and massage, the use of a Frejka pillow. This usually results in a positive outcome. In extremely rare cases, a surgical method is used.
Indications for the use of the Frejka pillow
The Frejka pillow is intended for the treatment of hip dysplasia of the 1st and 2nd degree due to the long-term fixation of the baby’s femurs in a divorced position. This ensures the correct formation of the joints.
With grade 3 dysplasia, that is, with dislocation, the Freik pillow is not used. In this case, a plaster cast is required and possibly surgery.
Features of the use of the device
How to choose a Frejka pillow
Only a pediatric orthopedist can choose the right Frejka pillow in size, who will take into account when choosing:
- degree of dysplasia;
- the health status of the child, including a history of chronic diseases;
- baby’s age;
- the maximum distance between the divorced knee joints.
How long the child will need to wear the device is also determined by the orthopedist. He will also monitor the dynamics of changes in the formation of the joint.
It is impossible to select a device on your own: if the pillow is small, the treatment will not work, or it will be insignificant; if it is large, the baby’s legs will be too far apart, which will cause him pain and discomfort.
How to put on a pillow
It will be good if the attending orthopedic doctor shows the parents how to put on and fasten the pillow on the child’s body, as well as how to remove it. At the same time, the legs should be fixed in a physiological position so that the child does not feel uncomfortable. Do not be upset if, upon returning home from the doctor, you forgot the exact procedure – instructions for use are included in any pillow package.
There are general guidelines for use.
- To avoid sweating and chafing of the skin, the Frejka pillow should not be worn over a diaper – only over cotton underwear.
- The pillow is worn only in a straightened form – this ensures a symmetrical arrangement of the roller between the thighs.
- You can not pull the straps too tight to avoid squeezing and rubbing the baby’s skin – the pillow should be securely fixed, but everything should be in moderation.
Do not despair if you put the Freyk pillow on the child yourself for the first time, did everything right, and the baby was capricious – first of all, check if his legs are too divorced. It might be worth lowering the dilution a bit. Children get used to the right Frejka pillow quickly enough.
Types of Freyka pillows
Frejka pillow models are:
- plastic (not very comfortable, as the most rigid); with 1 degree of dysplasia, they are practically not prescribed;
- polyurethane foam (there is a “memory effect”, due to which, when put on again, the pillow takes a comfortable shape). Not recommended if the fixing straps are located on the shoulders;
- combined (the most convenient);
- homemade (do not provide sufficient fixation of the hip joints).
As with any therapeutic agent, this device has contraindications. Among them:
- skin diseases with relapses;
- 3 degree of hip dysplasia (dislocation), regardless of etiology;
- any diseases that prevent full breeding in the sides of the child’s legs;
- individual intolerance by the child of the materials from which the pillow is made (allergic reactions).
It is strictly forbidden to use the Frejka pillow without a doctor’s prescription. If you doubt the reliability of the examination in the maternity hospital, the diagnosis and treatment prescribed, you need to contact a pediatrician.
The Frejka pillow is one of the most effective devices for treating dysplasia in a child. In no case do not “assign” it to your baby on your own – this can lead to deformation of the joints and curvature of the child’s legs. The course of treatment for dysplasia must be completed completely. In most cases, the disease is successfully cured, but if therapy is abandoned, it can lead to the development of complications that persist for life.
- Akhtyamov I.F. Diseases of the hip joint in children. Diagnosis and surgical treatment / I.F. Akhtyamov, A.A. Abakarov, A.V. Beletsky. – Kazan, 2008. – 455 p.
- Levanova I.V. Early diagnosis of hip dysplasia and indications for various methods of treatment in children under the age of 3 months: Abstract of Diss. Cand. Honey. Sciences. – Moscow, 1991. – 12 p.
- Treatment of high congenital hip dislocation in young children. Clinical recommendations // All-Russian public organization “Association of Traumatologists and Orthopedists of Russia” (ATOR). – 2014.
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