Surgery: Hip Dysplasia
Hip dysplasia reduction surgery: techniques, spica cast and detailed postoperative course for infants. Dr. Priano, Milan.
Surgical treatment when bracing is insufficient
Learn about this condition →Surgical Techniques
Closed Reduction + Spica Cast
Hip reduction maneuver performed under general anesthesia, followed by immobilization in a spica cast to maintain the hip in correct position.
Indication
Late-diagnosed dysplasia (after 6 months) or Pavlik harness failure.
Recovery
Spica cast for 3-4 months with periodic changes. Regular ultrasound and X-ray monitoring.
Open Reduction + Pelvic/Femoral Osteotomy
Direct surgical intervention to reduce the hip and reshape the acetabulum or femur to ensure adequate coverage of the femoral head.
Indication
Irreducible dislocation, very late diagnosis, residual dysplasia.
Recovery
Prolonged postoperative immobilization. Rehabilitation over several months. Results evaluable after years.
Postoperative Overview
Hip dysplasia treatment requires an individualized approach and prolonged follow-up until skeletal maturity. Each case is unique and therapeutic strategy is adapted based on clinical and radiographic response.
Detailed Recovery Timeline
Note: The timeline below is a general baseline. The actual postoperative course varies depending on the specific surgical technique chosen (see procedures above).
2-5 days hospitalization depending on procedure type. For closed reduction, only 1-2 days.
Weeks 1-6: Immobilization in spica cast. The child learns to adapt. Hygiene and cast care are essential.
Months 2-4: Cast change every 4-6 weeks to accommodate growth. X-ray checks to verify maintained reduction.
Months 4-6: Cast removal. Start gentle physical therapy. Nighttime abduction brace in some cases.
Return to Sport
Activity resumption: gradual, based on age. Young children recover spontaneously. Sports after medical clearance, generally within 6-12 months of cast removal.
Follow-up Schedule
Intensive follow-ups in first year, then biannual, then annual until end of growth. Periodic X-rays to monitor acetabular development.
Possible Complications
Possible: temporary stiffness (common, resolves), avascular necrosis of femoral head (rare but serious), residual dysplasia (may require further surgery).
Hip Dysplasia: condition information page
Causes, diagnosis, conservative options and when surgery is considered.
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