It is currently recognized the vital role of early diagnosis of hip dysplasia of development as secondary intervention in the first six months of life, where the results with orthosis hip abduction, the most common in Colombia is the "Milgram splint." However, this therapeutic intervention is performed in an important period of development of the child, in which both neuronal maturation of the brain and the spinal cord, allowing progressively going developing the gait patterns.
Currently there is debate on leave to walk or not children with abduction orthesis, first the gait is highlighted that involves increased biomechanical demands in hip, and second have not been evaluated biomechanical changes caused by the use of a hip abduction orthosis while performing the walking.
Available studies regarding the use of abduction splint are clear that the therapeutic effect of these measures in the context of child and effects on the acetabulum still not well understood. Several studies to evaluate the effect of combined abduction orthosis with walking, have shown an increase in the proportion of reluxaciones, however these have been poor and lacking at suitable experimental groups for your comparison. Some clinical observations recommend use the splint during the gait, some report no data that contraindicate its use and others suggest a beneficial effect.