Pediatric

Developmental dysplasia of the hip (DDH)

Developmental dysplasia of the hip (DDH) correction surgery is a specialized procedure aimed at treating a condition where the hip joint fails to develop properly, leading to instability, subluxation, or dislocation of the femoral head (the ball-shaped top of the thigh bone) from the acetabulum (the socket in the pelvis). DDH typically manifests in infants or young children and can result in hip pain, limping, and impaired mobility. The primary goal of DDH correction surgery is to achieve proper alignment of the femoral head within the acetabulum, stabilize the hip joint, and promote normal hip development.

Key things to know before the surgery

Before undergoing DDH correction surgery, individuals and their caregivers should consider several key factors. A thorough assessment by an orthopedic surgeon specializing in pediatric orthopedics is essential to evaluate the severity of DDH and determine the most appropriate surgical approach. Understanding the nature of DDH, the surgical interventions involved, and potential outcomes is crucial. Patients and caregivers should engage in discussions with the healthcare team to understand the expected benefits, potential risks, and the postoperative recovery process. Realistic expectations regarding the recovery timeline and the commitment required for postoperative care are important. While DDH correction surgery offers benefits in improving hip stability and function, patients and caregivers should actively participate in decision-making, maintain open communication with the healthcare team, and gain a comprehensive understanding of the procedure and its implications for a successful outcome.

Surgery Overview

DDH correction surgery involves various procedures tailored to achieve proper alignment of the femoral head within the acetabulum and stabilize the hip joint. Surgical techniques may include repositioning the femoral head, reshaping the acetabulum, and possibly performing soft tissue releases to facilitate hip joint stability. The surgeon carefully plans the correction to optimize hip function and mobility while minimizing the risk of complications. The success of DDH correction surgery depends on factors such as the accuracy of the realignment, the stability of the hip joint, and the patient's response to postoperative rehabilitation.

After Surgery

After undergoing DDH correction surgery, postoperative care is essential for a successful outcome. Patients and caregivers should adhere to the surgeon's instructions, including medication management, wound care, and scheduled follow-up appointments. Pain management and the use of assistive devices, such as a hip abduction brace, may be necessary to support the hip joint during the initial healing period. Compliance with the prescribed rehabilitation program is crucial, involving gradual progression of activities to promote hip strength, flexibility, and function. Physical therapy plays a central role in guiding patients through the recovery process, focusing on restoring mobility, stability, and muscle balance around the hip joint. Regular monitoring for signs of complications, such as avascular necrosis of the femoral head or redislocation of the hip joint, is important, and any concerns should be promptly addressed by the healthcare provider. Successful recovery after DDH correction surgery requires active participation in postoperative care, patience, and collaboration with the healthcare team to achieve optimal outcomes and long-term hip health.