The earlier a disease or developmental problems are identified in newborns, the easier it is to correct and recover faster. The diagnosis of hip dysplasia occurs in 5-20% of infants (most often in girls), and if you do not start treating the baby in a timely manner, this can lead to serious problems with the musculoskeletal system.

For the treatment of dysplasia, doctors prescribe special orthopedic devices that hold the legs of the newborn in the required position for a long time. These include: Freik's pillow, Pavlik's stirrups, Volkov's splint, Vilensky's splint and others.
In this article, you will learn about Frejk's orthopedic pillow, how to dress and wear it correctly.

What does Freik's pillow look like?

The Freyka pillow (splint) is a soft orthopedic device that allows you to fix and hold the child's legs in a position in which they are divorced in the pelvic part and bent at the knees. So the development and formation of the hip joints will be correct.

This pillow is made of hard polyurethane, covered with natural fabric on top, its design is equipped with special fasteners, with which it is fixed on the child's hips.

The dimensions of the Frejka pillow, necessary for a particular child, are indicated by the doctor when prescribing it. In total, it is represented by the following sizes: 15-16, 17-18, 19-20, 21-22, 23-24, 25-26. Several sizes of splints may be required for long-term treatment. To choose the right Frejk pillow, it is necessary to take into account both the distance indicated by the doctor and the baby's age in months

Frejka pillow - application

It is prescribed for children aged 1 to 9 months, with replacement as it grows. To put on the Freik's bus you need:

• put the baby with the crotch in the middle of the pillow, and place the feet and legs on both sides,
• fix adhesive tapes on the side surfaces of the torso (sometimes the thighs),
• cross the belts and fasten on the buckle.

From two days to a week, the child will get used to the pillow with a small leg spread, as indicated by the doctor for the first dressing. Further, it is necessary to breed without violence, gradually increasing from the minimum (30-40 °) to the prescribed (75-90 °). The hips should be set in the abducted position until the "springy" effect.

When using the Frejk bus, the following rules should be followed:

• adhere to the prescribed regimen, any changes should be made only with the permission of the doctor;
• put the construction on cotton clothing;
• if the child is restless, take him in your arms, give a pacifier, food or drink, massage the abdomen, in some cases, loosening the abduction of the thighs and lightly massaging them or applying a warm compress to them helps;
• in case of sleep disturbance, bathe the child in a warm bath with the addition of a couple of drops of lavender;
• if worried, loosen the abduction and consult a podiatrist immediately.

When treating dysplasia, you need to adhere to this regime: wear the design throughout the day, remove it only for gymnastics or massage, physiotherapy and changing sliders (diapers).

How long do Frejk splints wear? The answer to this question can only be given by an orthopedic surgeon who monitors your baby. Everything will depend on the initial diagnosis and the rate of improvement, that is, obtaining the desired result. On average, a period of 6-9 months is set. After this period, an ultrasound scan is done and new recommendations are given to stop or continuing treatment.

When treating, the most important thing is that the parents strictly adhere to the recommendations given by the specialist and the established deadlines, and in case of problems - and immediately turn to him. It is important to remember that the child's discomfort disappears within a week, as he quickly adjusts and does not feel any further discomfort.

You can achieve the desired result faster if you use Frejk's pillow in combination with massage, gymnastics, electrophoresis and other purposes.

Each parent experienced fear and anxiety for their baby when childhood illnesses appeared. They especially frightened young and inexperienced mothers and fathers, whose children have health problems from birth. After all, you cannot explain to a child that everything that is done is for his or her good. Difficulties await parents and children with the recommendation of a doctor to use Frejk's pillow for the treatment of hip dysplasia.

The Frejk pillow, or as it is also called a bandage, perinka, spacer and splint, is an orthopedic structure in the form of a rectangle with straps. Fits on the groin and thighs.

General information about the Frejka pillow

Diagnoses

Parents of a newborn child are increasingly faced with a diagnosis of hip dysplasia.

Pathology is an abnormal or defective articular development, which is encountered by every 20th newborn in Russia. The hip joint is connected by ligaments. But, when there is a stretch, it leads to the loss of the hip.

In general, pathology can be in the form:

The first signs of the disease that parents can notice:

• one leg is longer than the other;
• asymmetrical folds on the buttocks;
• if you bend your legs at the knees, they are not retracted to the side until they stop;
• when the legs are bent, sounds are heard, for example, clicking.

If you delay treatment or provide the wrong help, the disease progresses. There is pain in the joints, lameness, arthrosis develops. With proper therapy, a complete cure occurs in a few months.

When Freyk's pillow is contraindicated

The bandage cannot be used when:

• skin diseases;
• self-medication;
• dislocation of the hip due to the uselessness of wearing Frejk's pillow, since the legs cannot be spread to the required width.

Purpose of Frejk's pillow

The pillow looks like an ordinary pillow only in name. In fact, this is a splint, which is an orthopedic device that can fix the legs of a newborn in the correct position. In this case, the limbs are spread apart and bent at the knees.

It is permissible to wear a Frejk pillow only if prescribed by a doctor and in the presence of diagnoses - hip dysplasia, subluxation and pre-dislocation of the hip.

The indications for wearing this design are determined by the doctor after examination and diagnostic measures. It is advisable to use it for dysplasia of one or both hip joints.

To solve the problem of dislocation, the Frejk pillow is useless in an independent version, since it cannot provide the proper fixation and degree of hip dilation. Under these conditions, it is impossible to correctly position the head in the acetabulum. However, when combined with therapeutic measures, the use of such a bandage is advisable.

Operating principle

The goal of dysplasia treatment is to properly fix the legs so that the hip joint enters the acetabulum and takes the desired position. This can be achieved by bending and extending the legs to the sides.

The structure is a kind of spacer made of rigid polyurethane covered with cotton fabric.

The Frejk pillow helps to create conditions for correct fixation of the limbs for a long time and the formation of the acetabulum.

Instructions for use

An orthopedic product for the treatment of dysplasia has a dimensional grid that must be adhered to. When choosing, they are guided by the height, size or age of the child.

Important! The Frejka pillow is used only as directed by a doctor! Otherwise, you can harm the child, since if there is a dislocation or subluxation of the hip, the use of a bandage will lead to ossification of the joints.

It is very easy to make this design at home. You will need a soft cotton fabric and a pattern, a photo of which is easy to find on the Internet. To give the structure rigidity, you need to fold the collar in several layers, for example, eight, if the fabric is flannel.

Sew the straps to the pillow, and to them instead of Velcro buttons. It is good if the edges of the structure are soft, since these places are in contact with the back and stomach. That's all!

Important! When sewing, it is necessary to take measurements correctly. You will need the length from the nipple line to the center of the perineum and the distance from one popliteal part to the other through the perineum.

The disadvantage is that with this design, there is not sufficient fixation rigidity.

In case of developmental disorders of the hip joint in newborns, Freika's perinka is recommended. Ease of use and the possibility of individual selection of the product create all conditions for a comfortable and effective treatment of pathologies.

One of the most common pathologies found in newborns is hip dysplasia. In most cases, such a violation is a temporary factor, the cause of which is not fully formed articular structures. However, in order to avoid the development of a more severe form of deviation, it is recommended to use special orthopedic devices, for example, aimed at therapeutic correction of defects.

One of these products is Freika's perinka. Correct wearing of the brace will quickly heal a child's hip dysplasia. Slight limitation of physical activity without loss of therapeutic effectiveness creates the most comfortable conditions for wearing the Frejk pillow for newborns.

Important! Wearing an orthopedic brace to correct defects in the development of the hip joint in infants is possible only as directed by a traumatologist, pediatrician or orthopedist. Do not treat your child yourself.

Description of the fixture

Frejka's tire of Trifes firm, model T-8405

The Frejka pillow is an orthopedic product made of several parts. The base of the device is a medium hardness polyurethane plate. It is this element that limits the movement of the baby, contributing to the achievement of a therapeutic effect. However, an important role is played by such components of the product as a perinka (mattress) and belts adjustable with fasteners. Competent selection of a mattress determines the comfort of a baby wearing a Frejk pillow, since the splint must be used from 12 to 24 hours a day. Also, this element ensures the correct position of the musculoskeletal system, which speeds up the therapy process. Adjustable straps make it possible to fix the product on the baby's body with subsequent fixation settings.

Indications for use

Dysplasia of the hip joint - the main indication for wearing Freik's feather bed

The use of a Frejk pillow or bandage is justified in cases of developmental disorders of the hip joints of various etiologies in children under 3 months of age. However, in the presence of serious pathologies or aggravation of the disease, it is possible to extend the wearing of the splint up to 1-2 years.

The indications for the therapeutic use of Frejka's perinka are:

• dysplasia of the hip joints (most often the product is prescribed at the initial stage of pathology);
• preluxation or subluxation of the femoral head.

Despite the thoughtfulness and therapeutic efficacy of the Frejk pillow design, the device cannot be successfully used to treat hip dislocations in children over 2 years old. The elements of the bandage do not allow the child's legs to be separated to the proper distance, which prevents the establishment of the correct direction of the bone for effective treatment of pathology. Therefore, Frejka's perinka is prescribed exclusively in the early stages of developmental disorders of the hip joints in infants. For further therapeutic measures are used.

Remember! If a child has one of the above diseases, you should consult a specialist. Uncoordinated actions can harm the baby's health and lead to irreversible consequences.

Pavlik's stirrups or Freik's perinka?

Differences in the design of Pavlik's stirrups and Freik's bandage

Many experts consider Pavlik's stirrups a reasonable alternative to the Frejk pillow in the treatment of hip dysplasia in newborns, but this opinion is not true.

The devices have different designs, which, to varying degrees, provide therapeutic correction of the developmental defects of the child's musculoskeletal system. The Frejk pillow is intended for the treatment of the initial (mild) degree of dysplasia of the hip joints, while Pavlik's stirrups, which have a more complex structure, can be used to correct disorders of moderate to high severity.

How to choose a product

The speed of the child's recovery depends on the correct choice of a bandage. In order to pick up Frejka's feather bed, you need to follow a few simple rules.

1. Do not purchase the product yourself. The choice of the bandage should be done in conjunction with the treating pediatrician or other experienced specialist.
2. Decide on the size. The correct size of the device will provide the baby with comfort during prolonged wearing. For newborns, the priority is a splint width of no more than 14 cm.

1. Find the right mattress. Not only the well-being of the child depends on this, but also the correct formation of the musculoskeletal system.
2. Purchase the product exclusively from specialized orthopedic salons or pharmacies.
3. In the case of non-standard sizes in a child or the presence of features of the course of pathology, order a bandage according to individual requests.
4. Pay attention to the materials of the belts and mattress. The fabric should be hypoallergenic and pleasant to the baby's body.

Important! When buying a Frejka feather bed under the order, it is important to provide up-to-date information on the sizes and materials of execution. Orthopedic appliances for any purpose cannot be returned or exchanged.

Best manufacturer

Perinka Frejka with additional stiffeners

The Frejka pillow for newborns is produced by several orthopedic companies. The most popular ones:

• Trives;
• Orlett;
• Ecoten;
• Light;
• Fost;
• ORTHO.

Each manufacturer is distinguished by the presence of tire modifications suitable for certain variations in the course of pathologies of the child's musculoskeletal system. Some models have stiffening ribs for better fixation of the fixture. Others can be equipped with additional adjustment straps and options for adjusting the position of the pillow on the child's body.

It is impossible to say unequivocally which company or product model is of the highest priority.

Rules for putting on and wearing Freyk's feather bed

Before attaching the splint to your baby's body, put on clean and comfortable sliders (preferably made of cotton). It is better to entrust the first installation and adjustment of fixing the device to a specialist.

Donning rules:

• put the baby on his back - his crotch should coincide with the middle of the plastic spacer;
• spread the legs to the sides and bend them at the knee joint;
• fix the product on the shoulders and on the sides with Velcro and fasteners;
• adjust the tension of the belts.

Do not be alarmed if your toddler becomes anxious after putting on the device. Most often this is due to certain discomfort. Getting used to the new position of the legs and limiting physical activity occurs within 1-2 weeks. Changes to the fixation settings and putting on clothing made of denser fabrics under the bandage should be agreed with the attending physician.

The duration of the use of the Frejka splint depends on the child's health and the characteristics of the pathology. How much and when to wear a bandage is determined by a specialist. Most often, with hip dysplasia, doctors recommend removing the product at night, but in some cases it is possible to wear a pillow for 24 hours.

Important! If, after 14 days, your child continues to cry while wearing the brace, contact a health care provider for help. This behavior may indicate not only an incorrectly selected product, but also the presence of pathological conditions.

How to make Freik's perinka yourself

Accurately calculated Frejk pillow pattern

The main criteria for making a Frejk pillow with your own hands are:

• the distance between the pits under the knees with the divorced legs of the baby (through the perineum);
• length from the line of the baby's papillae to the middle of the perineum.

Knowing these values, use ready-made cutting patterns. Use soft cotton fabrics for sewing. Use a multi-layer collar to create the required rigidity. Cut out the straps and sew them following the pattern. Use buttons to secure. It is advisable to frame the edges of the pillow with soft fabrics for a comfortable contact with the baby's skin.

Remember! Self-made Perinka Frejka is not a certified orthopedic device and cannot be used for effective treatment of disorders of the musculoskeletal system in a child. Consult a specialist before use.

Conclusion

The best remedy for dysplasia of the hip joints in newborns is Frejka's perinka. Correct wearing of an orthopedic product contributes to the effective and comfortable correction of defects in the development of the musculoskeletal system in children aged 1 month to 2 years.

In the last century, the unique invention of the Austrian doctor Frejk produced the effect of an exploding bomb, and since then it has been successfully used to correct dysplasia of the hip joints of newborns and infants, and the Tübinger orthosis can also be used for the same purposes. The Frejka tire has undergone many modifications that have a positive impact on its efficiency. The device is often called "Freyka's perinka" among the people. How to choose and wear it correctly?

What is Frejka's bus

According to statistics, every eighth newborn today suffers from hip dysplasia. More often violations are found in girls, and if treatment is not carried out on time, the result will be disastrous - serious disorders of the musculoskeletal system, including lameness. A pediatrician can detect dysplasia in a child, but it is recommended to visit an orthopedist and a surgeon to clarify the diagnosis.

The Frejk orthosis is a soft roller that is put on the child like a sliders. It fixes and holds the legs bent at the knees in a divorced positionthereby allowing the hip joints to develop properly.

If earlier Frejk's splint was prescribed for congenital dislocations, modern doctors consider this a contraindication.

Elastic polyurethane is used as a material for the "feather bed", which is covered with a cover made of natural fabrics. A special system of fasteners and fasteners makes it easy to put on the device and fix it on the baby's hips and shoulders.

How to choose a Frejk orthosis

The dimensions of the Frejk splint are selected by the orthopedic pediatrician. When choosing, you should take into account the age and height of the child, as well as the distance at which the legs will be. For example, size XS is designed for babies 1-6 months old, while for such a long time the orthosis can be adjusted using special fasteners.

The size range is presented: 15-16, 17-18, 19-20, 21-22, 23-24, 25-26. What is needed in each specific case - the doctor decides.

Perinka is prescribed at the age of 1 to 9 months. In severe cases, a child under 2 years old can also be prescribed, while the baby will have to lie with her almost round the clock - such cases, however, are rare and are a consequence of the neglect of dysplasia. In this difficult time, the Butterfly orthopedic pillow, designed specifically for babies, will create more comfortable conditions for your child.

Be prepared for the fact that with long-term treatment, you will have to buy several Frejk splints of different sizes.

If you wish, you can try to sew the "pillow" yourself, but its orthopedic effect may be questionable.

You can buy Frejka's splint in drugstore chains, as well as in stores of goods for newborns. The cost of the models ranges from 800 rubles to one and a half thousand and depends on the brand, design and materials used.

How to wear Freik's feather bed

Use "perinka" can only be prescribed by a doctor. Under no circumstances should you decide on your own that your child needs this kind of correction.

The minimum wearing Frejka's splint per day is 12 hours. The maximum is round the clock. How long a day you need to wear a "pillow" for your child should also be determined by the doctor.

How many weeks or months the device will have to be worn is a question that also requires an individual answer. Usually a period of 6-9 months is set, after which an ultrasound scan is performed, the condition of the little patient is recorded and recommendations are given for the further use of the splint.

It is important to put on the Frejk brace correctly. Here's a step-by-step guide:

• put on cotton clean sliders on the child;
• place the "feather bed" on the changing table, and put the baby on top (make sure that his crotch coincides with the center of the roller);
• slightly spread the legs in different directions from the roller to a slight "springy effect";
• fasten the Velcro straps to the side of the waist (in some models - the hips);
• cross the straps and fasten the brace.

note that when dressing for the first time, you need to spread the legs at least - by 30-40 degrees, gradually increasing this distance to the 70-90 degrees recommended by the specialist. Usually, in a couple of weeks, the child gets used to wearing the orthosis, although at first it may be capricious. Many children do not feel discomfort from the first minutes, and then they get used to it so much that they calmly crawl in the "feather bed" and turn over in their sleep.

If your child cries in the Frejka splint for a long time, showing discomfort, remove the device and see a doctor immediately. Perhaps you spread your legs too far or there are other reasons for the child's resentment.

The device should be removed during bathing, massage and gymnastics, as well as when changing diapers and sliders. Do not remove the tire while walking, but for the comfort of the child, select a good mattress in the stroller.

Now you know what Freik's "perinka" is for. Wearing it will help to avoid serious illnesses in a child at an older age.

For babies suffering from congenital dislocation of the hip, a famous doctor from Austria has developed a unique healing device. In honor of the doctor himself, it received the name Freik's pillow. The people also often call it "Freyka's perinka". It is a very effective and at the same time safe remedy for the treatment of joint problems in newborns, which became a real discovery in medicine in the 20th century. To this day, the pillow is actively prescribed by doctors for young patients. In addition, specialists are constantly trying to improve it.

What is Frejk's orthopedic pillow and what is it used for?

This pillow is a special orthopedic medical device that is prescribed for hip dysplasia. If you use the discussed tool correctly, then the development of the problem can be prevented.

The doctor may prescribe Frejka's perinka in the following cases:

1. With mild dysplasia;
2. With subluxation or preluxation of the femoral head.

If earlier experts recommended using such a design in case of dislocation, then modern orthopedists came to the conclusion that this is contraindicated and leads to negative results. The pillow does not allow the legs to move to the sides properly, therefore it is not possible to achieve the desired direction of the bone in the joint.

This method of treatment is prescribed, as a rule, to newborns, up to 3 months of age. It is allowed to start using it from 1 month.

Only in very rare serious cases can a podiatrist prescribe a pillow for a child up to two years of age. The child will need to lie on it almost around the clock during the treatment. The doctor recommends using perinka, as a rule, from 12 to 24 hours. The term primarily depends on the complexity and neglect of the problem.

Outwardly, the design only remotely resembles a real pillow. This is a soft roller that fixes the baby's legs in a divorced position. As a rule, it is supplemented with comfortable straps (like in overalls), which allow you to fix Frejk's pillow.It is also important, since the health of the musculoskeletal system directly depends on it. We will tell you how to choose the right mattress in our next article.

Video - treatment of hip dysplasia with a Freik pillow

In a special section "Ask a Doctor" the doctor answers the most exciting questions for all parents on the topic of hip dysplasia in newborns. And also the specialist clearly demonstrates how to put on and use the Frejk pillow correctly. Helpful tips for caring mothers.

How to put it on and how much to wear?

First of all, it is worth noting that you can start putting on a child such a design only after consulting a specialist. Only a surgeon or orthopedic surgeon can prescribe its use. It is categorically contraindicated to independently decide on the use of a feather bed.

According to statistics, today every eighth newborn child suffers from problems, for the elimination of which a Frejk splint is needed.

In order for it to be really effective, effective and safe for the baby, you need to know how to put it on correctly and how much to wear it.

Instructions on how to put on the Frejk pillow:

1. First of all, the child's legs should be put on thin clean sliders made of natural cotton;
2. Next, the baby will need to be laid on top of the splint so that the crotch is exactly in the middle of the structure;
3. Now the feet and legs are neatly parted on both sides, and the pillow is fixed on the child's body - on the sides and on the shoulders.

This is done with belts, tapes or Velcro, depending on the model chosen. It is very important that the fasteners are adjusted in size, otherwise very soon you will have to replace the pillow with another - a larger one.

It is best if, during the first use of the feather bed, the actions of the mother are guided by an experienced doctor who will explain all the subtleties to her and show her how to correctly perform all the actions.

Most likely, immediately after putting on the structure, the child will start crying. But this is not at all a signal to mom that something was done wrong. The legs take about 1-2 weeks to get used to the pillow. After that, all the whims about wearing it in a child stop. Only if the baby cries for a long time and it is noticeable that the design causes him severe discomfort, it is worth contacting a specialist. Perhaps, for the first time, the legs are too far apart.

Dimensions

It is also very important to choose the correct size orthosis. It is selected for the child, depending on his height and other parameters. Modern manufacturers offer pillows in a variety of sizes. If the child has non-standard parameters, then the design can be created to order.

When choosing a size, the age of the baby is also taken into account. For example, the smallest XS is for patients 1 to 6 months old. Such a wide range is possible due to the fact that belts and other fasteners can be adjusted.

But if the size of the splint can be chosen by the parents themselves, then only an experienced orthopedist can correctly assign the period of its wearing and the angle of the legs. If you solve this issue on your own, then you can only worsen the situation and even hurt the child.

Can you sew by yourself?

If desired, the mother can sew Frejk's pillow herself, refusing to purchase a ready-made structure at the pharmacy. To do this, you just need to use ready-made sewing patterns.

The main thing is to first correctly remove two sizes from the child: the distance from the nipple line to the middle of the perineum and from one popliteal fossa to the other (through the perineum with divorced legs).

Which doctor should I see if I have hip dysplasia in a newborn?

Newborn babies are always examined by a variety of specialists. As a result of them, the child may have hip dysplasia. Even a pediatrician can suspect the presence of such a diagnosis.

If the parents have any doubts about this, then it is worth contacting a more narrow specialist - an orthopedist. Also, a surgeon can give advice and prescribe treatment in the case under discussion.

Where to buy and how much does it cost?

You can buy Frejk's pillow today in most large pharmacies, as well as in baby stores. Many craftswomen offer to purchase such designs in online stores. Which method is the most convenient, each mother decides for herself.

The cost of the discussed product in real and online stores is about the same. Depending on the design and materials used, its price ranges from 800 to 1500 rubles.