DDH Surgery: What You Need to Know as a Parent

Understanding Developmental Dysplasia of the Hip (DDH)

Developmental Dysplasia of the Hip (DDH) is a condition that occurs when the hip joint doesn't develop normally. It can affect one or both hips and is the most common orthopedic condition diagnosed in newborns. In many cases, DDH can be treated with a brace or harness, but in more severe cases, surgery may be necessary.

What Causes DDH?

The exact cause of DDH is unknown, but it is believed to be caused by a combination of genetic and environmental factors. Some risk factors for DDH include: * Breech birth * Family history of DDH * Being a girl * Being born in a certain ethnic group (e.g., Native American)

Signs and Symptoms of DDH

The signs and symptoms of DDH can vary depending on the severity of the condition. In mild cases, there may be no symptoms at all. In more severe cases, symptoms may include: * Uneven skin folds on the thighs * One leg appearing shorter than the other * Difficulty spreading the legs apart * A clicking or grinding sound in the hip when the leg is moved

Diagnosis of DDH

DDH is typically diagnosed based on a physical exam and a medical history. The doctor may also order an X-ray to confirm the diagnosis.

Treatment Options for DDH

The treatment for DDH depends on the severity of the condition. In mild cases, treatment may involve simply monitoring the condition and ensuring that the child is developing normally. In more severe cases, treatment may involve: * A brace or harness to hold the hip in place * Surgery to correct the hip joint

DDH Surgery

DDH surgery is typically performed on children who are between 6 and 18 months old. The goal of surgery is to correct the hip joint and allow the child to develop normally. There are several different types of DDH surgery, including: * Open reduction and internal fixation (ORIF): This surgery involves making an incision in the hip and using screws or wires to hold the hip joint in place. * Closed reduction and internal fixation (CRIF): This surgery involves manipulating the hip joint back into place without making an incision. Screws or wires are then used to hold the joint in place. * Pelvic osteotomy: This surgery involves cutting the pelvis and rotating it to correct the hip joint. The type of surgery that is recommended for a particular child will depend on the severity of the condition and the child's age and health.

Recovery from DDH Surgery

The recovery from DDH surgery typically takes several weeks. During this time, the child will need to wear a cast or brace to keep the hip joint in place. The child will also need to avoid putting weight on the affected leg. Physical therapy may be recommended to help the child regain range of motion and strength in the hip joint.

Long-Term Outlook for Children with DDH

With early diagnosis and treatment, most children with DDH will have a good long-term outlook. However, some children may experience ongoing problems, such as: * Hip pain or stiffness * Difficulty walking or running * Leg length discrepancy * Arthritis Regular follow-up with a doctor is important to monitor the child's progress and ensure that there are no complications.

Ddh Surgery