Congenital Hip Dislocation: Surgery, Recovery, and Risks for Kids - Orthopedics

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Congenital hip dislocation, now more commonly referred to as developmental dysplasia of the hip (DDH), is a condition where the hip joint does not properly form in infants and young children. When diagnosed, especially at the age of five, it can indeed be a source of concern for parents, as it may require surgical intervention. Let’s address your questions regarding surgery, recovery, and potential risks.

1. Complexity of Surgery at Age Five: At five years old, the surgical procedure for DDH is considered moderately complex. The surgery typically involves realigning the hip joint and securing it in place, which may include cutting and repositioning the bones (osteotomy). While many children recover well, there are potential risks and complications associated with any surgery, including infection, blood loss, and anesthesia-related issues. Long-term complications can include stiffness, pain, or even the possibility of re-dislocation, though these are relatively rare with proper surgical technique and rehabilitation.

2. Casting and Recovery: After surgery, your daughter will likely be placed in a cast to immobilize the hip joint and allow for proper healing. The cast usually extends from the waist down to the feet, and it is not uncommon for it to cover both legs, depending on the specific surgical approach taken. The duration of immobilization can vary, but it is typically around 6 to 12 weeks. During this time, your daughter will need to limit her movements significantly, which can be challenging for a young child. However, she will not necessarily have to lie down for the entire duration; she may be able to sit up or engage in some activities as advised by her healthcare team.

3. Scarring from Surgery: As for the surgical scars, advancements in surgical techniques have led to smaller and less noticeable incisions. The size and visibility of the scar will depend on the specific surgical method used and the individual’s healing process. Generally, pediatric orthopedic surgeons aim to minimize scarring while ensuring effective treatment. Over time, scars often fade and become less noticeable.

In addition to addressing your specific questions, it’s important to emphasize the significance of early diagnosis and treatment of DDH. The earlier the condition is treated, the better the long-term outcomes tend to be. If left untreated, DDH can lead to complications such as hip arthritis, chronic pain, and impaired mobility later in life.

Post-surgery, rehabilitation is crucial. Physical therapy will likely be recommended to help strengthen the hip muscles and improve range of motion. Engaging in appropriate exercises under the guidance of a physical therapist can significantly enhance recovery and help your daughter regain her mobility.

In conclusion, while the prospect of surgery can be daunting, many children with DDH go on to lead active, healthy lives after appropriate treatment. It’s essential to maintain open communication with your daughter’s orthopedic surgeon and rehabilitation team to ensure the best possible outcomes. They can provide tailored advice and support throughout the recovery process, addressing any concerns you may have along the way.