Developmental dysplasia of the hip (DDH) is an issue with the way a child’s hip joint structures previously, amid, or after birth — causing an unstable hip. In severe cases, the hip joint can dislocate or cause trouble walking.
What is the treatment for developmental dysplasia of the hip in India?
The objective of treatment is to get the head of the thigh bone to go back into the hip joint. This then allows the structures of the rapidly developing hip joint to become established normally. Commonly used treatments are as follows:
This is a device that is used to hold the hips in the correct position. It is mostly the first treatment used in children under 6 months old. During this time, ultrasound scans are usually done to check that the hip is in the correct position. This harness keeps the legs bent and turned outwards but allows certain movements. It does not allow your child to straighten their legs or turn those inwards. The harness is adjusted as the child grows and as the hip stabilizes.
Closed reduction and hip spica
This technique is utilised as a part of children over 6 months of age, or if the Pavlik harness isn’t successful.This involves your child being given an anaesthetic., the doctor positions the hip the correct way and then applies a special cast or plaster to keep the hip in the right position. The position of the hip is affirmed as correct by a MRI or CT check done after the technique. This cast is kept on for at least 12 weeks.
If the above options fail or your child is much older when DDH is diagnosed, then an operation is needed. The operation includes releasing the tendons around the hip and evacuating anything that is preventing the hip from moving freely.
Other types of surgery
If DDH has not resolved by 18 months, more complicated surgery is required. This includes expelling a few sections of the bone and joint with the goal that the hip can be kept in the correct position
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