Tubingen hip flexion and abduction orthosis

When your baby is diagnosed with what is known as hip dysplasia – the delayed development of the acetabulum or hip joint socket – your doctor will talk to you about suitable treatment methods and the duration of therapy.

According to Dr. Bernau, the Tübingen hip flexion and abduction orthosis establishes the ideal conditions to ensure that your child’s hip joint matures completely and without any problems. The hip position that is most favorable to development is known as the “seated squat position.” It is the same position which the child assumes in the womb before birth. The orthosis flexes your infant’s hip joints at an angle in excess of 90 degrees and spreads them slightly. Even if this appears unusual at first, it is just an extension of the pre-birth phase. This allows your baby’s hips to mature under the same favorable conditions as they would in the womb.

Adjustment and closure areas

Your doctor or O&P professional will take care of the red adjustment and closing elements in the shoulder harness area and on the lower spreader bar of the orthosis. Please contact them if you unintentionally change these settings.

Anatomically shaped shoulder harness

The anatomically shaped shoulder harness of the Tubingen hip flexion and abduction orthosis is softly padded, and the hook-and-loop closure makes it easy to put on. The pads can be removed for washing.

Individually adjustable beaded cords

The coloured beads on the cords to the left and right of the caterpillar strap serve as orientation so you can easily find the setting marked by the doctor.

Thigh support with spreader bar

Together with the shoulder harness, the thigh support promotes the squat position, in which your baby’s hip joints can develop optimally. The red elements are set by the doctor. Parents must not change these settings.

Easy-care plastic elements

The Tubingen hip flexion and abduction orthosis is made entirely of synthetic materials, making it easy to clean. All textile parts can be removed and washed. Spare hook-and-loop closures are included with the orthosis.

28L10 - Pelvis Hip

Tubingen hip flexion and abduction orthosis

Helping your baby’s hips mature properly

When your baby is diagnosed with what is known as hip dysplasia – the delayed development of the acetabulum or hip joint socket – your doctor will talk to you about suitable treatment methods and the duration of therapy.

According to Dr. Bernau, the Tübingen hip flexion and abduction orthosis establishes the ideal conditions to ensure that your child’s hip joint matures completely and without any problems. The hip position that is most favorable to development is known as the “seated squat position.” It is the same position which the child assumes in the womb before birth. The orthosis flexes your infant’s hip joints at an angle in excess of 90 degrees and spreads them slightly. Even if this appears unusual at first, it is just an extension of the pre-birth phase. This allows your baby’s hips to mature under the same favorable conditions as they would in the womb.

Terms and conditionsHip dysplasia
User groupchildren
ApplicationsBracing & Support/ (OTS)

Tubingen hip flexion and abduction orthosis

When your baby is diagnosed with what is known as hip dysplasia – the delayed development of the acetabulum or hip joint socket – your doctor will talk to you about suitable treatment methods and the duration of therapy.

According to Dr. Bernau, the Tübingen hip flexion and abduction orthosis establishes the ideal conditions to ensure that your child’s hip joint matures completely and without any problems. The hip position that is most favorable to development is known as the “seated squat position.” It is the same position which the child assumes in the womb before birth. The orthosis flexes your infant’s hip joints at an angle in excess of 90 degrees and spreads them slightly. Even if this appears unusual at first, it is just an extension of the pre-birth phase. This allows your baby’s hips to mature under the same favorable conditions as they would in the womb.

Adjustment and closure areas

Your doctor or O&P professional will take care of the red adjustment and closing elements in the shoulder harness area and on the lower spreader bar of the orthosis. Please contact them if you unintentionally change these settings.

Anatomically shaped shoulder harness

The anatomically shaped shoulder harness of the Tubingen hip flexion and abduction orthosis is softly padded, and the hook-and-loop closure makes it easy to put on. The pads can be removed for washing.

Individually adjustable beaded cords

The coloured beads on the cords to the left and right of the caterpillar strap serve as orientation so you can easily find the setting marked by the doctor.

Thigh support with spreader bar

Together with the shoulder harness, the thigh support promotes the squat position, in which your baby’s hip joints can develop optimally. The red elements are set by the doctor. Parents must not change these settings.

Easy-care plastic elements

The Tubingen hip flexion and abduction orthosis is made entirely of synthetic materials, making it easy to clean. All textile parts can be removed and washed. Spare hook-and-loop closures are included with the orthosis.

Benefits at a glance

Tubingen hip flexion and abduction orthosis – moving safely, growing naturally

Proven treatment

The Tubingen hip flexion and abduction orthosis has been successfully used to treat hip dysplasia for over 30 years. Its effectiveness has been scientifically proven. 

Suitable for everyday use

The Tubingen hip flexion and abduction orthosis is designed in such a way that it can easily be worn anytime and anywhere – whether your baby is in an infant carrier, a child seat, or going swimming. It is completely washable and even resistant to salt water, making it a reliable device for your baby’s first day at the beach as well.

Natural posture

The position that your baby assumes when wearing the Tubingen hip flexion and abduction orthosis is familiar to them. This was previously their favored position in the womb. It usually ensures optimum development of the hip joints. If this doesn’t occur as it should, the orthosis corrects the problem after birth. 

Very easy to use

During the initial fitting of the Tubingen hip flexion and abduction orthosis, your doctor will explain exactly how the orthosis works to correct hip dysplasia and how to apply it. You only need to adjust the hook-and-loop closure and the white clips. After awhile, putting it on will feel as normal as changing a diaper.

Quick familiarization 

It’s completely normal for babies to resist their new companion at first. They may cry more frequently in the first few days and appear fussy. After just a few days, your baby will get used to the orthosis. If they continue to resist it, talk to your doctor.

User Experience

We can do this

Tilda with the Tubingen hip flexion and abduction orthosis

Tilda has hip dysplasia and wears the Tubingen hip flexion and abduction orthosis. Her mother Steffi and physician Dr. Lorenz talk about their experiences with the orthosis.

Functionality

Accelerated hip maturation via controlled abduction of the legs

What is hip dysplasia?

Some babies’ hip joints do not develop as they should if they are in an unfavorable position in the womb. This can mean that the bone development of the acetabulum is incomplete or that the socket itself is too shallow. As a result, the head of the thigh bone is not covered by the socket as it should be.

Hip dysplasia is usually diagnosed using sonography (an ultrasound examination). It is important to act quickly if this condition is diagnosed. The sooner the undeveloped joint is treated, the better the healing process will be. This is where the Tubingen hip flexion and abduction orthosis comes into play. When babies wear the orthosis, they assume a position that promotes the natural development process of the joints. The hip can develop, and the likelihood of long-term damage such as arthrosis in young adulthood is reduced.

Consistency is key!

Parents, it’s worth being strict! Especially for your child’s sake. Because if you don’t apply the orthosis as your doctor has prescribed, this may result in one or both of the femoral heads becoming dislocated from the sockets. Immature hip joints that are not sufficiently treated can cause premature degeneration of the cartilage and subsequently arthrosis when your child is a young adult. This often requires hip surgery later on.” Dr Heiko Lorenz, Paediatric Orthopaedist, Göttingen University Hospital

More than one quarter of a million babies around the world have worn the Tubingen hip flexion and abduction orthosis since the late 1980s. The excellent treatment outcomes have been proven in numerous studies. Your baby’s hips will develop normally if you use the orthosis consistently. The more consistent you are now, the easier things will be for your baby.

Therapy for hip dysplasia

The Tubingen hip flexion and abduction orthosis for treating hip dysplasia causes your baby’s hips to flex at more than 90° while both of the legs are spread (abducted) by 30 to 45°. Your doctor will use regular ultrasound exams (every six weeks or so) to monitor the healing process. These exams are used to measure the angle between the head and socket of the joint. The doctor will also check the position of the femoral head and the extent to which the socket is still deformed. Based on these exams, they can determine when and how often the orthosis needs to be readjusted. Once the hip measurements have reached the normal range (typically between the sixth and eighth week), the process of “weaning” your baby off the orthosis begins. In other words, your doctor gradually reduces the amount of time your baby wears the orthosis. At first, it is removed during the day and worn only at night. Your doctor will decide when you can stop using the orthosis entirely. Then the final checkup takes place, which usually involves taking an X-ray of the pelvis.

Specifications

Product information

Terms and conditionsHip dysplasia
User groupchildren
ApplicationsBracing & Support/ (OTS)
ProductionAssembled
MaterialPlastic

Product Data

Article numberSizeAge of infant
28L10=SSApprox. 1 month
28L10=MMApprox. 2–5 months
28L10=LLApprox. 6–12 months
Downloads

Documents

Instructions for use
28L10Instructions for use

647G1108=ALL_INT

Instructions for use | 29L106
Download (English, PDF 395 KB) Instructions for use
28L10Instructions for use

647G582=ALL_INT

Instructions for use (qualified personnel) | 28L10
Download (English, PDF 2 MB) Instructions for use
Declaration of Conformity
28L10Declaration of Conformity

4164799

Declaration of Conformity for 28L10
Download (English, PDF 138 KB) Declaration of Conformity
FAQS

Answers for you

Does it take long for my baby to get used to the orthosis?

Most babies get used to the new situation very quickly (1 or 2 days). Some babies do protest and need more time. Should your baby fight the orthosis for a long time, talk to your doctor and have the orthosis checked.

Are ultrasound exams harmful for my baby?

Ultrasound exams do not involve the use of radiation. They are entirely painless and are a standard examination method today.

Does my baby have to wear the orthosis all day and all night?

Normally, the hip flexion and abduction orthosis should be worn day and night – that is, for about 23 hours a day (except when changing and bathing).

Will the orthosis limit my baby’s freedom of movement?

No. Your baby’s general motor development, for example when they learn to turn their body, is not delayed compared to other children.

I would like to leave the orthosis on when my baby is weighed. How heavy is the orthosis?

The product weight of the Tubingen hip flexion and abduction orthosis is 0.3 lbs (147 g) in size small, 0.4 lbs (177 g) in size medium, and 0.5 lbs (219 g) in size large.

Can I transport my child in a car seat with the orthosis?

Yes, this is no problem with modern child seats. Just be sure that the belt is below the spreader bar.

Can I hold my baby with the orthosis?

Of course you can! There is nothing special to be aware of when cuddling or in any other situation.

Can my baby wear the orthosis in water?

Yes. The orthosis is even resistant to salt water. So splashing around in the sea on holiday won’t be a problem, either. The terry cloth covers and hook-and-loop closures are also designed for contact with water, but should be rinsed after contact with salt water.

Can I use a baby carrier with the orthosis?

Yes. Like the Tubingen hip flexion and abduction orthosis, baby carriers are based on a baby’s natural position. For this reason, your baby can continue to wear the orthosis in a baby carrier.

Can the orthosis be worn directly on the skin?

The orthosis will generally be more comfortable when worn with clothing. For light clothing, e.g. on warm days, please use the fabric covers for the leg supports. You should make sure your baby wears at least a onesie or a shirt under the orthosis.

How long will my baby have to wear the orthosis?

Once the hip measurements have reached the normal range, the process of “weaning” your baby off the orthosis begins. In other words, your doctor gradually reduces the amount of time your baby wears the orthosis. At first, it is removed during the day and worn only at night. Your doctor will decide when you can stop using the orthosis entirely.

What are the typical symptoms of hip dysplasia?

Children with hip dysplasia can often only spread their legs to a limited extent. With unilateral hip dysplasia, the gluteal or genital folds may be slightly displaced. However, it is unlikely that someone will be able to detect this malformation. For this reason a routine ultrasound examination, during which the hip joints are checked, is required to confirm the diagnosis.