Hip dysplasia is a ‘silent’ condition and a developmental deformation or misalignment of the hip joint in infants. The problem area can be the femoral head of the hip joint or the acetabulum of the hip joint, or both. Doctors call it as congenital hip dysplasia or developmental dysplasia of the hip.
The physical examination of the children determines the condition of Hip Dysplasia. While performing special maneuvers of the hip joint, the doctor will feel ‘hip click’. The Barlow and Ortolani tests cause a hip that is out of position to “click” as it moves in and out of the proper position. The doctor then performs an ultrasound to assess the joint. The ultrasound shows the position and shape of the hip joint. If the ball is outside of the socket or and has poorly formed socket, then surgical treatment is needed.
The congenital hip dislocation treatment varies for each individual baby depending on the baby’s age. The goal is to properly position or reduce the hip joint. Once the reduction is acquired, the doctor holds the hip in the reduced position and allows the body to adapt to the new position. Hip Dysplasia surgery results are quite positive if the child is younger, because the capacity to adapt the hip and chance of full recovery is much better in such cases.
The success rate of the hip subluxation in infants depends on the child’s age and adequateness of the reduction. The younger the child better are the chances of early & complete recovery. Children with this persistent condition have a chance of getting pain and hip arthritis later in life. Hip osteotomy or hip replacement surgery may be needed later in life. The success of hip dysplasia treatment in India is 95-97%.
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