How to choose the right hip joint orthosis. Hip and thigh muscles

The hip joint is the most massive and largest element of the bone skeleton, acting as a support for the upper body. Due to the increased stress placed on the pelvic structures, they are regularly at risk of injury and deterioration over time.

Treatment of injuries and pathologies of the hip joint is carried out by wearing a hip bandage in accordance with additional methods of conservative therapy. The use of an orthopedic device provides maximum support for the joint, preventing possible displacement of its individual elements. It is worth talking in more detail about how to choose and apply a hip bandage correctly.

General description

A hip orthosis is an orthopedic structure, the main functional objectives of which are the therapy and prevention of joint pathologies. Treatment and restoration of pelvic structures is achieved by supporting the articulation and preventing displacement of its individual elements. The design features of orthopedic devices are:

  • The base of the device is soft elastic fabric, which contains individual polymer elements. Dense design details allow you to more tightly fix the hip joint in an anatomically correct position.
  • There are two types of design - double-sided and single-sided. Bilateral is more often used for fractures, ruptures of the pelvic joint, as well as other serious injuries. The choice of the appropriate option depends on the nature of the injuries or damage present.

It is important to remember that a bandage chosen incorrectly can only worsen the patient’s condition. To prevent this, it is important to consult a specialist before purchasing an orthosis.

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Hip orthosis

Indications

It is recommended to use a hip orthosis only if there are medical indications. In some cases, the use of a fixation device to restore the hip joint is not appropriate. The main indications for use are:

  • Bandages are used after, for example, after endoprosthetics.
  • In case of a fracture, it is also recommended to wear a bandage. The device will help prevent displacement of bone tissue after a fracture.
  • , diagnosed in childhood.
  • For joint diseases associated with the destruction of cartilage tissue.

In addition, the use of orthoses is acceptable in case of damage to the ligamentous apparatus or muscle tissue that occurs due to excessive physical activity or after receiving a mechanical injury. In this case, the orthosis is worn on the damaged area for a short time.

Types of bandages

Depending on the specific application, materials used in the manufacturing process, as well as design features, there are several main groups and subgroups of hip bandages. To obtain exceptionally positive results when using the device, it is important to wear only a suitable design recommended by a specialist.

Rigid bandages

As the name suggests, a rigid bandage for the treatment of hip joints is a device equipped with metal elements or parts made of dense plastic. Wearing such orthoses is recommended only after severe injuries or surgical procedures.

Orthoses for the hip joints, in turn, are divided into two main subgroups:

  • Hingeless. This type of corrective device is one-piece and involves the use of plastic or metal structures that provide tight fixation of the damaged joint. When using orthoses of this type, patients often experience problems associated with discomfort.
  • Articulated. The next type of rigid products are orthoses equipped with hinges. This type of design consists of two main elements, one of which is attached to the waist, and the other is fixed to the hip. This device ensures mobility of the damaged hip joint, causing minimal discomfort during operation.

To prevent possible negative consequences, rigid products for the hip joints can only be used for a limited period of time.

Soft bandages

The soft type of fixation products is intended for the treatment of minor pathologies of the hip joints, as well as for the prevention of their occurrence. Devices of this type are made of soft materials and contain voluminous pads that provide reliable fixation of the hip joints.

They do not cause discomfort during operation and are approved for use in the treatment of hip joint diseases in children.

Children's hip braces

Children's orthopedic devices are used to treat hip dysplasia, and are a design designed to fix the child's legs in an extended position. The use of orthoses of this type makes it possible to stabilize the position of the heads of the femoral joint relative to the surfaces of the acetabulum, and to prevent the negative consequences of immaturity of bone and cartilaginous tissues.

According to the type of materials used in the manufacture of a certain model for the treatment of pathologies of the hip joint in children, children's orthoses are divided into several main types: rigid, semi-rigid or combined, soft. Selecting a suitable product for the treatment of hip joints should only be done in accordance with medical recommendations.

Size selection

The hip joint fixator must be selected in strict accordance with the size, otherwise the treatment will not only not bring the expected result, but may also worsen the patient’s condition. Below are the values ​​according to which you need to select a device:

  • S – waist and injured hip circumference does not exceed 82 and 52 centimeters, respectively;
  • M – waist circumference no more than 95, hip circumference no more than 62;
  • L – waist – 111, hip – 65;
  • XL – waist – 128, hip – 70.

There are also so-called universal or adjustable models of hip orthoses. As a rule, they belong to the class of soft-type products, and are used only to eliminate minor pathologies of the pelvis or prevent injuries during active sports.

How to wear a bandage correctly

In order to obtain maximum results, the hip bandage must be used in accordance with certain recommendations, the main ones being the following:

  • For a tighter and more reliable fixation of the device, it is necessary to put it on when in a horizontal position. This measure will help relax muscle tissue. excessive tension of which prevents a tighter coverage of the pelvis.
  • The product should be worn only during the daytime. At night it should be removed to dry.
  • If the device or its individual elements become unusable for any reason, its further use is strictly prohibited. To continue the therapeutic course, you should purchase a new model that matches the parameters of the previous one.
  • To ensure that the purchased model does not lose its therapeutic properties, you should not repair it yourself.
  • The product should only be worn over thin clothing made from natural fabrics that allow the skin to breathe. This measure will help prevent the occurrence of irritation or redness on the skin.

Before purchasing an orthosis, you should take into account the physiological characteristics of the body. If you have a tendency to gain excess body weight, it is recommended to choose a device equipped with special Velcro. This model can be increased by several sizes if the need arises.

Contraindications for use

There are certain contraindications, the presence of which precludes wearing a corrective device for pelvic treatment.

Movement is a prerequisite for the normal functioning of the human body. Lack of physical activity is just as dangerous as lack of nutrients. Therefore, the hackneyed phrase: movement is life is a truism and never loses its relevance.

The most important mechanism that implements the above postulate is the joints. Joints not only connect parts of the body, they also provide mobility. The largest and most reliable part of the human skeleton is the hip joint. This joint experiences serious stress, which is why it is often injured and wears out over time. All these factors lead to the development of serious diseases of the hip joint. For its treatment and recovery after injuries and operations, an orthosis is prescribed for this anatomical site.

What is a hip bandage?

A hip bandage is a soft orthopedic device that is used to treat injuries and pathologies of the hip joint. The term bandage refers to a fabric product that is most often used as a preventive measure to protect the joint from excessively intense movements. Such a joint bandage does not restrict movement or interfere with a person’s movement; it is designed to have a gentle effect on soft tissues. The hip bandage is made as follows:

  1. The basis of the bandage is elastic fabric, which contains additional supporting elements made of polymers.
  2. The outside of the bandage is made of dense, high-quality material that is resistant to friction. Inserts made of this material are located both in the groin and on the side of the thigh. The inside of the product is covered with a special material that provides a warming effect, breathability and absorbs sweat well.
  3. The one-sided type of bandage, worn only on one side of the thigh, is made in the form of a tape, which is fixed to the desired area using Velcro fasteners. The double-sided bandage is produced in one piece; it looks like a short leotard that is worn over the legs and fixed on the joints.

Immobilizing hip fixators

Immobilizing products provide maximum support for a sore joint. However, such fixing devices come in different types and perform different functions. Since the hip joint has a complex anatomical structure and large size, it is very difficult to fix it with simple means - plaster, splint, splint. Therefore, it is necessary to use larger devices capable of holding the joint in place in a physiologically correct position. In this capacity are: orthoses, splints, bandages.

All these devices differ in their purpose:

  1. A bandage is a soft tissue retainer that is used as a preventive measure after minor injuries or joint diseases. The use of a fabric bandage relieves the joint, provides it with maximum support and eliminates pain.
  2. Orthoses or splints are rigid products whose design includes metal or plastic elements. They are used for hip fractures as a plaster cast, after surgery, when complete immobilization is necessary.

In addition to their purpose, fixing devices also differ in appearance:

  1. The hip bandage is attached with special clamps to the thigh and to the belt. This is a soft elastic fabric that is highly breathable and is attached to the belt using Velcro fasteners.
  2. Orthoses are rigid structures that are supplemented with metal and plastic elements. These rigid elements provide lasting protection to the injured joint from further injury. The orthosis is fixed to the joint using lacing and straps.
  3. Splints are very similar to orthoses, but, unlike the latter, they are additionally equipped with hinges. Splints also come in moderate and strong fixation. They are used for fractures and serious pathologies of the hip joint. A splint is an analogue of a plaster splint.

Why do you need a hip bandage?

In orthopedics, hip injuries are treated as the most complex and dangerous, since they take a long time and are difficult to treat. After all, the hip joint is the largest in humans and experiences enormous loads every day. Therefore, in case of injury or pathology of this joint, a whole range of therapeutic measures is needed, including wearing a brace. This type of therapy is considered successful, but does not always lead to complete rehabilitation of the damaged joint. In this case, the fixators act as temporary support to restore motor activity of the hip joint. Its main function is to relieve the load on bone joints and prevent the development of complications.


Therefore, treatment may be complicated by the following factors:

  • cartilage tissue is difficult to grow together, so rehabilitation takes a long time;
  • anatomically complex structure of the joint;
  • high probability of re-injury;
  • the scale of the damaged area.

All these factors support the use of a bandage. Diseases and injuries of the hip joint are especially difficult to treat in old age. And in this case, the success of treatment and recovery is achieved through the use of additional methods, one of which is also a fixative.

Thus, the use of a bandage and orthosis is necessary in the following cases:

  1. After serious injuries and surgical interventions, the fixator completely immobilizes the joint and allows the muscles and ligaments to adapt to the previous level of activity.
  2. Reduces the risk of complications and relapses from injuries and diseases.
  3. During the treatment of minor soft tissue injuries, sprains and bruises. In this case, the bandage has a supporting and warming effect, which helps reduce pain and speed up recovery.
  4. For congenital and acquired pathologies of the hip joint. Congenital diseases or injuries during childbirth must be corrected immediately; special fixing structures are used for this.
  5. At the early stage of development of coxarthrosis (arthrosis) osteoarthritis; rheumatoid arthritis

to prevent further development of the disease. In this case, an orthosis on the hip joint will stabilize it and relieve discomfort and pain.

The lightest versions of fixing devices are used by athletes as a preventative measure to prevent injuries during active training.

Indications and contraindications for use

Before you start choosing a bandage, you need to find out in what cases wearing it is advisable and in what cases it is undesirable.

Soft products can be used as a preventive measure for diseases of the hip joint, minor injuries, bruises and sprains. Such products are used every day to unload the joint and relieve tension in the tailbone, spine and leg. Orthoses and splints are used in more complex cases, usually during the rehabilitation period after serious operations and injuries (fractures, dislocations and subluxations of the femoral neck and hip joint).

Bandage and orthosis are used:

  • for fractures of the femoral neck and hip joint in the elderly;
  • during the rehabilitation period after operations;
  • for hip dysplasia in newborns;
  • if necessary, stabilize the joint;
  • for arthrosis and arthritis;
  • with a fracture of the femoral neck;
  • with chronic destruction of the cartilage of the hip joint.

There are no direct contraindications to the use of the orthosis. However, it is better not to wear it in the following cases:

  • for diseases of the skin in the thigh area;
  • with bleeding wounds;
  • for some chronic diseases;
  • in the presence of complications in the postoperative period;
  • in case of individual intolerance to the material from which the orthosis is made (meaning plastic and metal products).

Types of hip braces

Depending on the level of rigidity, there are:

  1. Soft. This group includes bandages made of soft elastic fabric. Inside, the product is equipped with special pads that provide reliable fixation.
  2. Semi-rigid. This type includes orthoses that are equipped with special plates that provide moderate fixation. Such orthoses fit tightly to the joint and stabilize it. The outer part of the orthosis is made of soft fabric, providing the greatest stability of the device on the hip.
  3. Rigid orthoses, also called splints, have metal or plastic elements in their design. These elements completely immobilize the joint, so they are used during the rehabilitation period after serious injuries and surgical interventions.

Also, fixing bandages are:

  • hinged;
  • hingeless.

Hinge devices are equipped with special fasteners that support the damaged joint when walking. As a rule, orthoses with a rigid degree of fixation are equipped with hinges. They are used for complete immobilization after serious injuries.


Hingeless devices are a one-piece structure with a rigid degree of fixation. This model has plastic and plastic elements in its design. These models are used for fractures of the hip joint.

The following classification divides bandages into:

  • one-sided rigid;
  • double sided hard.

One-sided rigid bandage consists of two elements that are connected to each other. The first part of the structure is attached to the patient’s waist, and the second – to the thigh. Between the parts of the orthosis there is a special mount for adjusting movements. The function of this orthosis is precisely the regulation of movements. Using the fastening, which is located between the two parts, control over movements is exercised: moving the leg to the side, raising the top, lowering down.

This type of orthosis is made of durable plastic or metal. You should not select such an orthosis yourself; it can only be prescribed by a doctor, since there are various models of such a device. It is prescribed to both adults and children strictly as prescribed. The device tightly fixes the patient’s hips, preventing displacement and repeated damage.

This orthosis is used in the following cases:

  • during the process after endoprosthetics;
  • rehabilitation after any other operation;
  • dislocations, subluxations and fractures of the femoral neck;
  • osteotomy;
  • replacement of joint parts with artificial components;
  • resection of the femoral head;
  • tendon rupture.

Rigid unilateral orthoses are used in cases where it is necessary to completely or partially immobilize the patient for some time. Very often, such devices have additional straps, fasteners and even more rigid fixing devices in their design.

This model of orthosis performs the following functions:

  • eliminates pain;
  • stabilizes and fixes the hip joint;
  • reduces the load on the damaged area.

Bilateral rigid orthoses used in cases where it is necessary to control the movements of the hip joint or ensure complete immobility of the pelvic joints. Most often they are used after hip surgery. This product provides rigid fixation and immobility of the hip in a certain position, and also prevents repeated damage to the joint. Sometimes such orthoses are supplemented with auxiliary hinges that regulate the level of hip fixation.


There are designs of double-sided orthoses equipped with special rollers, which provide a massage effect, which improves blood supply to the thigh and pelvis. In addition, the device has special soft inserts that do not rub the skin or put pressure on the joint and soft tissues surrounding it.

Double-sided rigid fixtures use:

  • after surgical interventions on the hip joint;
  • with severe pain;
  • to fix the femoral head.

Braces for children

Among children, girls are more likely to need braces. They often have congenital dysplasia - a deviation in the position of the hip joint. In other words, congenital dislocation of the hip. This problem arises as a result of intrauterine underdevelopment of all parts of the hip joint. If this problem is not eliminated in infancy, then later the child’s gait is disturbed, lameness appears, the body tilts to one side, as a result of which scoliosis develops (curvature of the spine). Therefore, treatment for congenital hip dislocation should be started as early as possible. Timely therapy will allow you to avoid surgical intervention in the future.

In this case, a rigid hip orthosis for dysplasia is simply irreplaceable. It is made in the form of a durable plastic product, which is fixed on the child’s shoulders with special tapes, and on the hips with Velcro fasteners. This device is worn on the child over clothes and a diaper. The duration of wearing the orthosis is determined by a pediatric orthopedist. The size of the product is selected depending on the age of the child.

Thus, there are several models of children's orthoses:

  • hard;
  • rigid with special fixation;
  • combined;
  • fabric bandages.

Rigid hip orthosis It is completely made of thick plastic and reliably fixes the femoral head. Such an orthosis immobilizes the child in such a way that it does not allow him to move independently.


Rigid orthosis with fixation It has special hinges in its design that allow the child to move. This orthosis controls the degree of abduction of the leg to the side, as well as its elevation. This special one performs the abductor function of the hip.

Combined orthosis is a device with special tires and spacers. When using such an orthosis, the child can move around because the joint is not fixed as tightly as a rigid orthosis with fixation.

The fabric bandage consists of an elastic frame, but its base is soft elastic fabric. As a rule, such a bandage is used for mild dislocations and sprains, when there is no need for rigid fixation.

How to choose a hip orthosis

An incorrectly selected orthosis can only worsen the patient’s condition. In order for a fixation device to have a therapeutic effect, you need to know how to choose it correctly. Purchasing an orthosis based on reviews from the Internet is very dangerous. Only a competent specialist is able to correctly prescribe a fixation device, taking into account the individual anatomical characteristics of the patient, as well as the degree of injury to the joint. But the brand and manufacturer of the product are the patient’s personal preferences. However, it is still necessary to purchase fixing devices in specialized salons and clinics; in this case, you can accurately select the size and degree of fixation. In addition, a product purchased in specialized places can be returned (in case of discomfort and other problems), and this will also avoid counterfeiting of famous brands.

So, when choosing an orthosis, you must consider the following criteria:

  • size;
  • comfort;
  • structural strength;
  • degree of hardness (according to doctor’s indications);
  • fastening level;
  • purpose.

How to use a hip orthosis

When using orthoses, problems often arise that prevent one from fully appreciating the benefits of such products. Therefore, it is necessary to use orthoses and bandages correctly in everyday life:

  1. It is necessary to wear the orthosis while lying down, since in this position the muscles surrounding the hip joint are better relaxed. This fact allows you to more tightly fix the orthosis on the damaged area.
  2. The orthosis is worn over thin cotton stockings, this way sweat is better absorbed and the skin is protected from irritation that occurs from friction.
  3. It is recommended to remove the product at night, this way the orthosis is ventilated and prevents the appearance of an unpleasant odor.
  4. If some problems occur during the operation of the product, its further use is strictly prohibited.
  5. It is also prohibited to independently repair or disassemble structures, since the product may lose its medicinal qualities.

It is best to buy a thigh brace in an adjustable form with Velcro fasteners. This way, if your body weight changes, you won’t have to buy a new orthopedic device.

It is necessary to put on the product for the first time under the supervision of a doctor in order to eliminate various malfunctions in its design. Only a correctly selected product contributes to the restoration of the hip joint.

  • soft fabric products cannot be washed in a washing machine, bleached, ironed or wringed vigorously; hand washing with baby soap in slightly warm water is preferable;

A splint (special bandage) for the hip joint is necessary to unload it. The device is used to ensure complete rest of the affected area and rapid recovery after injury.

The orthosis supports the joint and makes it possible to keep it in one position.

The main difference between a bandage and a prosthesis is that it is a temporary solution. It is selected on a strictly individual basis for each patient.

Hip injuries have always been a rather serious problem, because they take a long time to be treated. The hip joint, being the largest joint in humans, is forced to endure enormous loads every day.

First of all, to get rid of the pathological condition, the doctor will recommend medication and physical therapy. Such treatment gives results quickly, but is not always able to restore the affected joint.

Therapy may be complicated by one or several factors:

  • cartilage tissue grows and regenerates too slowly;
  • complex structure of the joint;
  • increased likelihood of developing re-injury (during therapeutic exercises);
  • the damaged area is quite large.

For this reason, in the vast majority of cases, such an injury requires a hip brace.

There are many types of support products, but patients with pelvic injuries need devices with the most rigid fixation. Moreover, splints and plaster do not have a qualitative effect, and they are inconvenient to use.

In case of injuries, a hip orthosis will be rational. It is able to tightly cover the affected area of ​​the body, limiting its mobility, but at the same time allowing normal movement. A splint will not only help the joint heal quickly, but will also prevent re-injury.

The bandage device is used for minor injuries. Such products can additionally be equipped with hard metal or plastic parts. They are used to provide first aid to the victim and during the recovery period after serious injury.

Bandages are made from different materials. The cost of such products depends entirely on the quality, manufacturer and wear resistance.

One-sided bandage

Hip orthoses are one-sided. In this case, the structure will consist of 2 parts connected to each other. The first element must be attached to the patient’s waist, and the second to the thigh.

Between the halves of the product there is a special hinge to adjust the patient’s movements. The hinge will allow you to control the lowering, raising and moving your leg to the side.

Orthoses come in different sizes, and therefore, before purchasing, it does not hurt to consult a doctor, who will advise and select the appropriate option.

The bandage should be used in the following situations:

  1. bone displacement;
  2. rehabilitation after endoscopic surgery;
  3. recovery after another surgical intervention;
  4. tendon rupture;
  5. bone fracture;
  6. corrective osteotomy.

Rigid orthoses should be used if the patient needs to be partially or completely immobilized for some time. Often such products additionally have fastenings, belts and more reliable fixation devices.

During the rehabilitation period, the orthosis is capable of performing several functions at once: reducing pain, fixing the hip joint, reducing the load placed on the injured area of ​​the body.

Certain models of bandages are equipped with additional hinges, which make it possible to increase or decrease the degree of fixation as necessary.

Double-sided bandage

In addition to one-sided devices with rigid fixation, the market also offers two-sided models. They are necessary to ensure control over the degree of abduction of the patient's lower limb. Typically, such options are needed after surgery on the hip joint.

Such devices guarantee complete freedom for the hip and secure it in the desired position. Such an orthosis is usually made of durable plastic or special metal.

It is strictly forbidden to choose a double-sided bandage without the help of a doctor, because there are many models of such devices, and the price depends on the materials. The bandage in this embodiment is indicated for adults and children.

The product secures the patient’s hip well and prevents re-injury or displacement of the joint. You can find double-sided clamps at the pharmacy, additionally equipped with special rollers for micromassage and improving blood flow to the affected thigh.

In addition, the splint may have special inserts made of soft material. They do not allow the device to rub and squeeze the skin.

Products for children

Bandages intended for children became a separate group. These orthoses are intended for:

  • elimination of dislocation;
  • subluxation;
  • fixation of the femur;
  • elimination

There are several options for bandages for children: hard, fabric, combined, hard with a lock.

Traditionally, a rigid hip splint must be made of durable plastic and support the entire femoral head. But in this case, the child will not be able to move.

If the product is fixed, then the sick baby is able to maintain motor activity thanks to special hinges that regulate the angle of abduction of the limb to the side and elevation (abduction orthosis).

As for combined splints, they consist of a spacer and a splint. Such models ensure preservation of the ability to move, and do not fix the pelvis as strongly as rigid orthoses with a fixator.

A fabric bandage consists of a durable frame, but its base is an elastic material. Typically, such products are used when it is necessary to fix a joint after a sprain or dislocation.

Soft hold

This category of hip bandages includes elastic models made of fabric. They are used to reduce the load on the joint and support them. Orthoses with soft fixation help improve blood flow, warm the affected joints, and reduce the severity of pain.

The use of a bandage made of elastic fabric is justified for severe bruises, sprained ligaments, dysfunction of muscles, inflammatory processes in tendons and muscles. These models will be no less effective in cases where a person is forced to systematically undergo severe physical overload.

A hip bandage is an effective therapeutic and prophylactic remedy that is used to eliminate the consequences of injuries. It is known that the largest joints of the human skeleton are the hip joints, which experience enormous loads every day, which is why they are often exposed to diseases or injuries. A hip bandage is very often prescribed to patients after surgery for rehabilitation and treatment. Why is this device necessary, how to choose it correctly, and are there any contraindications for using the bandage? These and other questions should be answered in more detail.

Why do you need a hip bandage?

The hip bandage is intended to provide immobilization and temporary restoration of motor function. This device, unlike a prosthesis, cannot be called a joint replacement. Such bandages are often used by athletes as a prophylactic measure to prevent injuries to the hip joints. When it was still not possible to avoid injury (for example, a fracture occurred), then it is necessary to use a corset for a pelvic fracture.

Modern models of bandages have different types of designs, which depend on the scope of their application. The type of this product is selected depending on medical indications. For example, medical bandages made to be worn on the hip joints should be used for sprains, bruises of the thigh muscle tissue, and joint damage. This product is also recommended to be worn by patients who suffer from diseases such as trochanteritis and repositioning osteotomy.

Methods of using a hip bandage

Patients who have undergone joint surgery, removal of part of the femoral head and endoprosthetics must wear bandages and orthoses. A bandage for a femoral neck fracture is used to ensure immobilization of the hip joint. It also partially restores mobility while relieving stress on the damaged joint.

Rigid bandages that are fixed to the hip joint come in two types:

One-sided hip corset - this product allows the patient to perform flexion-extension movements, adjusting their abduction angle using a hinge;

Double-sided, equipped with rigid metal ribs - a product of this type is necessary to ensure a stationary retracted position.

Elderly people can use this type of orthopedic product as a preventative measure. For pathologies such as osteoporosis, as well as for the prevention of femoral neck fractures, specially designed bandages are used to wear on the hip joint. For conservative treatment of an inguinal hernia, an inguinal hernial bandage should be used (it can be left-, right-, or bilateral).

Types and designs of hip bandages

Hip bandages come in soft and hard types.

Soft bandage for the hip joint

These are hingeless models that provide stabilization and relief of joints. They help improve blood circulation, provide the necessary compression to tissues, warm them, thus relieving pain. These products are used for inflammation in ligaments, muscles, high physical activity, bruises and muscle dysfunction.

Rigid bandage for the hip joint

Such models come in single- and double-sided types.

One-sided rigid bandage

This model consists of two rigid elements connected into one product. One of them is attached to the waist, and the second - to the thigh. Between the two elements there are hinges, with which you can adjust the angle of hip abduction (the patient has the ability to flex and extend the joint).

Double-sided rigid bandage

Bilateral abduction bandage (orthosis) of the hip joint Indications: rehabilitation after operations of the hip joint, fractures of the upper end of the femur, the socket of the hip joint and conditions after dislocation of the hip joint. Area of ​​application: traumatology, surgery. Contraindications: for eczema, dermatitis and pustular infection of areas located at the site of application of the orthosis.

Bilateral hip orthosis with adjustable motion to reduce pain and minimize the effect of hip degeneration

The double-sided model is made of special plastic or steel plates. It provides rigid fixation of the abducted joint on both sides, making it completely immobile (this type of bandage is used immediately after surgery).

The principle of operation of a bandage on the hip joint

A product such as a bandage provides the necessary support in the natural position of the problem area of ​​the body. The principle of the design of a bandage or orthoses is quite simple - the product provides optimal impact on the damaged hip joint, thereby facilitating the patient’s rapid recovery after the injury. The design of the bandage and its type must be selected in accordance with the indications of the attending physician.

Elastic bandages are necessary to provide a tightening effect on the thigh. Adjustable orthoses are also produced, the design of which includes a stiffening rib - they provide fixation of the damaged hip joint in a natural position, while limiting its mobility.

If the muscles and ligaments of the hip joint are damaged, as well as when the sciatic nerve is compressed, it is necessary to use a corset for the pelvic bones. This device helps relieve the load on the damaged area, reduce pain and significantly shorten the patient’s recovery period. Hip corset provides partial restoration of joint mobility, unloading it and taking part of the load onto its structure. In this case, the range of flexion movements is limited to prevent aggravation of the injury or to prevent re-injury.

The largest joints in the human skeleton are the hips. They experience enormous stress and are often injured or exposed to various diseases. For treatment and rehabilitation after surgery, wearing a hip bandage is often prescribed. How to choose the right product? What types of it can be found on sale? And are there any contraindications for use?

Why do you need a hip orthosis?

A pelvic bandage, unlike an artificial joint, is not capable of completely restoring the condition of the hip joint. It becomes a temporary measure to restore impaired motor function after injury or surgery. Its main purpose is reduce the load on bone joints and avoid complications.

Injuries and diseases of the hip joint are more difficult to treat, especially in old age. Difficulties are caused by the complex structure of this part of the skeleton, the large area of ​​spread of the disease, the increased risk of repeated injuries, and slow recovery processes in the cartilage. Often, successful treatment and recovery are achieved as a result of the use of additional measures, one of which is wearing an orthosis.

Types of bandages

There are two main groups of hip bandages - hard and soft.

Rigid bandages

Can be unilateral or bilateral. The device of the first is two rigid elements combined into one product. One (pelvic) is attached to the waist, the other (femoral) is attached to the thigh. Such hip orthoses for the legs and torso are adjustable due to the hinge located between the elements, with the help of which the angle of hip abduction is adjusted. With this product the patient is able to flex and extend the joint.

Double-sided models are made of steel plates or medical perforated plastic. Unlike unilateral, it rigidly fixes the abducted joint, therefore it is used immediately after surgery on the joint to completely immobilize it.

Soft bandages

Soft, hingeless models are used to stabilize and relieve stress on the joint. With their help blood circulation improves, tissues undergo the necessary compression, warm up, which leads to a decrease in pain.

Such products are used for inflammation in muscles, ligaments and tendons, for bruises, excessive physical exertion, and muscle dysfunction.

Soft bandages are made from cotton and nylon, as well as rubber and polyurethane.

Children's hip braces

A separate group includes devices that are used for congenital dislocation of the hip joint in children. With their help, dysplasia is eliminated and the femoral head is fixed in case of subluxation. To eliminate dysplasia in newborns and infants, a Tübinger bandage is used.

The following types of products are available for sale:

  • rigid plastic for complete immobilization of the joint;
  • hard John or Korn tires in which the child can walk;
  • combined tire-spacers;
  • soft elastic bandages.

Indications and contraindications for use


Wearing an orthosis is prescribed not only after injuries and operations, but also in a number of other cases:

  • with destabilization of joints;
  • for arthrosis and arthritis;
  • for prevention during sports training;
  • with a fracture of the femoral neck;
  • for childhood dysplasia (congenital joint dislocation);
  • with dislocation in the hip area;
  • after endoprosthetics;
  • with corrective osteotomy (artificial fracture of the pelvic bone);
  • for chronic coxarthrosis (destruction of cartilage).

There are no direct contraindications to wearing an orthosis, however the attending physician may choose a different method of support during the postoperative period due to identified complications or chronic diseases.

Which hip brace to choose


Prescriptions for wearing an orthosis are made by the doctor taking into account the patient’s age, the nature of the disease or the goals that they want to achieve during rehabilitation. After endoprosthetics, for example, a unilateral rigid hip orthosis may be recommended, and a soft one for stabilization and unloading of the joints.

It should be remembered that when choosing a hip orthosis, it is important whether it will be used for the right or left leg.

How to wear a bandage correctly


The wearing regimen of the orthosis is regulated by the doctor. And if hard orthoses will most likely have to be worn until the joint functions are fully restored, then the use of soft bandages may be limited to several hours a day with the device removed at night.

Remember that The first fitting of the bandage must be performed under the guidance of an orthopedist. Especially when it comes to rigid articulated models.

The hip brace can be worn either on a naked body or on a special cotton stocking.

Correctly wearing a hip brace in accordance with the recommendations of a specialist will help the patient improve the quality of his own life and avoid numerous complications after injury or surgery on the joint. With its help, it is possible to prolong remissions, maintain the ability to move independently, reduce pain and improve overall well-being.