Congenital Hip Dysplasia: Treatment Options and Costs

Congenital hip dislocation

Hello Doctor: I have congenital hip dysplasia, and my mother (who is 70 years old) has the same condition.
We often experience clicking sounds in our hip joints, and we suffer from abnormal pain, especially during weather changes, which can even wake us up at night.
If we undergo hip joint replacement surgery, will we return to normal? What is the estimated cost? Is there any risk associated with the surgery? How long does it take to apply for health insurance coverage? Recently, my mother sought massage therapy due to her pain, but she is now completely unable to walk.
Does she definitely need surgery for a hip joint replacement? I appreciate your response.
Thank you very much!

Zhū ér, 30~39 year old female. Ask Date: 2003/06/04

Dr. Shi Guozheng reply Orthopedics

Congenital hip dislocation treatment varies based on the severity and age of the patient.
For very young children, immediate reduction and casting are recommended.
As the child grows, surgical intervention may be necessary.
In adults, if joint degeneration has occurred, surgery is required, which may involve osteotomy or total hip replacement.
The outcomes of these surgeries are generally favorable.
Health insurance typically covers these procedures, with total costs being less than 150,000 NTD, and the patient is responsible for only 10% of the expenses.
Results from the application process usually take about seven to ten days.

Reply Date: 2003/06/04

More Info

Congenital hip dysplasia, also known as developmental dysplasia of the hip (DDH), is a condition where the hip joint does not properly form in infants and young children. This can lead to a range of issues, including pain, reduced mobility, and an increased risk of arthritis later in life. Your concerns about the condition affecting both you and your mother are valid, especially given the symptoms you describe, such as joint sounds and pain that disrupts sleep.

Treatment Options
The treatment for congenital hip dysplasia varies depending on the severity of the condition and the age of the patient. In mild cases, non-surgical options like physical therapy, bracing, or observation may be recommended. However, in more severe cases, particularly in adults where the joint has degenerated, surgical intervention may be necessary.
The most common surgical procedure for severe cases is hip arthroplasty, or hip replacement surgery. This involves removing the damaged joint and replacing it with an artificial joint. The success rate for hip replacement surgery is generally high, with many patients experiencing significant pain relief and improved mobility post-surgery.

Costs
In terms of costs, hip replacement surgery can be expensive. In the United States, the total cost can range from $30,000 to $50,000 or more, depending on various factors such as the hospital, the surgeon's fees, and the type of prosthetic used. However, many insurance plans, including Medicare and Medicaid, cover a significant portion of the costs, and patients may only be responsible for a copayment or deductible. In your case, if you are eligible for health insurance coverage, the out-of-pocket expenses could be considerably lower.

Risks and Complications
Like any surgical procedure, hip replacement surgery carries risks. Potential complications include infection, blood clots, dislocation of the new joint, and nerve or blood vessel damage. However, these risks are relatively low, and the majority of patients do not experience serious complications. It is crucial to discuss these risks with your orthopedic surgeon, who can provide personalized information based on your specific health situation.

Health Insurance and Approval Process
Regarding health insurance, the approval process can vary. Typically, after a consultation with an orthopedic surgeon, the necessary imaging studies (like X-rays or MRIs) will be conducted to assess the condition of the hip joint. Once the diagnosis is confirmed, your doctor will submit a request for surgery to your insurance provider. The approval process can take anywhere from a few days to a couple of weeks, depending on the insurance company and the urgency of the situation.

Conclusion
Given your mother's recent inability to walk due to pain, it is essential to consult with an orthopedic specialist as soon as possible. They can evaluate her condition and determine whether hip replacement surgery is necessary. If surgery is recommended, the benefits often outweigh the risks, especially if the pain is significantly impacting her quality of life.

In summary, congenital hip dysplasia can lead to significant discomfort and mobility issues, but with appropriate treatment, including potential surgical intervention, many patients can achieve a better quality of life. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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