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Their hip will be checked under general anaesthetic again after 6 weeks, to make sure it's stable and healing well.Īfter this investigation, your child will probably wear a cast for at least another 6 weeks to allow their hip to fully stabilise. Your child may need to wear a cast for at least 12 weeks after the operation. open reduction – a cut is made in the groin to allow the surgeon to place the femoral head into the hip socket.closed reduction – the femoral head is placed in the hip socket without making any large cuts.Reduction surgery is done under general anaesthetic and may be done as either: This involves placing the femoral head back into the hip socket. The most common surgery is called reduction. Surgery may be needed if your baby is diagnosed with DDH after they're 6 months old, or if the Pavlik harness has not helped. You'll be encouraged to allow your baby to move freely when the harness is off. how to avoid skin irritation around the straps of the harness – you may be advised to wrap some soft, hygienic material around the bandsĮventually, you may be given advice on removing and replacing the harness for short periods of time until it can be permanently removed.positioning your baby while they sleep – they should be placed on their back and not on their side.cleaning the harness if it's soiled – it still should not be removed, but can be cleaned with detergent and an old toothbrush or nail brush.how to change your baby's clothes without removing the harness – nappies can be worn normally.Your hospital will provide detailed instructions on how to look after your baby while they're wearing a Pavlik harness. Your clinician will discuss your baby's progress with you. The harness may be adjusted during follow-up appointments. The harness needs to be worn constantly for 6 to 12 weeks and should not be removed by anyone except a health professional. This secures both of your baby's hips in a stable position and allows them to develop normally. Get help and support from the charity Steps if your baby's been diagnosed with DDH Treating DDH Pavlik harnessīabies diagnosed with DDH early in life are usually treated with a fabric splint called a Pavlik harness. Sometimes a baby's hip stabilises on its own before the scan is due, but they should still be checked to make sure. If you have had twins or multiples and 1 of the babies was in the breech position, each baby should have an ultrasound scan of their hips by the time they're 4 to 6 weeks old. your baby was born in the breech position (feet or bottom downwards) after 28 weeks of pregnancy.there have been childhood hip problems in your family.
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If a doctor, midwife or nurse thinks your baby's hip feels unstable, they should have an ultrasound scan of their hip between 4 and 6 weeks old.īabies should also have an ultrasound scan of their hip between 4 and 6 weeks old if: The examination involves gently moving your baby's hip joints to check if there are any problems. Your baby's hips will be checked as part of the newborn physical screening examination within 72 hours of being born, and again at 6 to 8 weeks of age. With early diagnosis and treatment, children are less likely to need surgery, and more likely to develop normally. problems moving around, for example a limp.Without early treatment, DDH may lead to: babies born in the breech position (feet or bottom downwards) after 28 weeks of pregnancy.families where there have been childhood hip problems (parents, brothers or sisters).In severe cases, the femur can come out of the socket (dislocate).ĭDH may affect 1 or both hips, but it's more common in the left hip. In DDH, the socket of the hip is too shallow and the femoral head is not held tightly in place, so the hip joint is loose. The top of the femur (femoral head) is rounded, like a ball, and sits inside the cup-shaped hip socket. The hip joint attaches the thigh bone (femur) to the pelvis. It's sometimes called congenital dislocation of the hip, or hip dysplasia. Developmental dysplasia of the hip (DDH) is a condition where the "ball and socket" joint of the hip does not properly form in babies and young children.