Treatment of Developmental Dysplasia of the Hip
Treatment of developmental dysplasia of the hip depends on the child’s age at diagnosis and the severity of the condition. Early intervention is highly effective and often non-surgical. When developmental dysplasia of the hip is detected in newborns, conservative methods like bracing usually suffice. Delayed cases may require surgery.
Newborns to 6 Months
Pavlik harness: A soft brace that holds the hips in a flexed, abducted position. It allows the joint to develop correctly while still permitting some movement.
Treatment duration usually lasts 6–12 weeks, with periodic monitoring using ultrasounds.
Success rates are high if the condition is detected early.
6 Months to 2 Years
If bracing is ineffective or diagnosis is delayed, a closed reduction under general anaesthesia may be necessary. The hip is gently manipulated into place and held in position with a hip spica cast.
Additional imaging such as an arthrogram may be used to confirm hip positioning during the procedure.
Over 2 Years
Open reduction surgery may be required to realign the joint if non-surgical methods fail or if the hip has become rigid.
This is often followed by casting and sometimes further surgical interventions to reshape the hip socket or femur.
Rehabilitation and Monitoring
Children require regular follow-ups with imaging to ensure proper hip development.
Physiotherapy may be recommended to restore full mobility and strength, particularly after casting or surgery.
Outcomes | Treatment of Developmental Dysplasia of the Hip
Most children treated early develop normal, functional hips. Delay in diagnosis can lead to increased need for surgical intervention and long-term complications.
In conclusion, the treatment of developmental dysplasia of the hip is most successful when started early. With the right care, many children go on to lead active, pain-free lives.
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