It is performed primarily to relieve hip pain and stiffness caused by hip arthritis. However, some may develop arthritis in the affected joint in their later years.Hip replacement is the removal and replacement of portions of the pelvis and femur (thighbone) that form your hip joint. Most babies born with successfully treated DDH don’t have any hip problems in later life. Symptoms may include a distinct waddling gait, one hip lower than the other, a limp, and walking on tiptoe.Ĭomplications of untreated DDH in an older child may include stability problems with the knee joints and injury to nerves supplying the femur (the thigh bone – between the hip and the knee). Sometimes, a child isn’t diagnosed with DDH until they are two or three years of age. A hip cast applied after surgery helps to keep the hip joint in place, and subsequent x-rays will track the hip joint’s progress. If a baby is diagnosed with a dislocated hip when they are six months old or more, then an anaesthetic will be required before the hip is manipulated into its proper position. Your baby’s legs should be able to bend at the hips with their knees apart. When wrapping your baby, always remember to leave enough room in the wrap for the legs to move freely. Research has shown that tight wrapping with the legs held straight can lead to hip dysplasia and dislocation. In some babies, the ligaments around the hip joint are loose, which in most circumstances, corrects during the first few months of life. Most babies will require the harness for between six and 12 weeks, and do not appear to be distressed by its use. The Pavlik harness is effective in over 85 per cent of cases. Subsequent x-rays will track the hip joint’s progress. This device holds the joint in place while the baby’s skeleton grows and matures. Treatment for newbornsĪ baby born with a dislocated hip can be successfully treated with a Pavlik harness. X rays, CT scans and magnetic resonance imaging (MRI) scans may also be used. A dislocated hip doesn’t have a full range of movement and tends to make a clicking or clunking sound as the ball of the femur moves in and out of the socket.Īn ultrasound is usually performed to confirm the diagnosis and help determine the extent of the dislocation. The baby is laid on its back, and the doctor rotates each leg at the hip to ensure full joint mobility.
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