Open reduction and hip reconstruction surgery

DDH is usually diagnosed soon after birth and your GP or consultant will take an ultrasound scan of your baby to assess the extent of their condition.

Open reduction and hip reconstruction surgery is usually performed if previous closed reduction (minimally invasive) surgery hasn’t worked. It is carried out under general anaesthetic and involves placing the ball joint of the femur (thigh bone) back into the acetabulum (hip socket).

During the open reduction and hip reconstruction procedure, the consultant will make a cut in the groin and the hip joint is opened up. The damaged tissue is then removed and the hip is then aligned into the socket.

Open reduction and hip reconstruction is generally a very safe procedure. However, as with any surgery, there are some risks and side effects involved. Your consultant will explain these to you and answer any questions you might have about your child’s surgery.

After the procedure, your child will be placed into a special cast known as a spica cast to ensure their hip remains in its newly aligned position. The cast will need to be changed every six weeks, and may be worn for three to six months. After the spica cast is removed, your child may need to wear a hip abduction brace for a few weeks to provide extra support.

Your child’s consultant will also advise you on how to manage your child’s recovery and when they can get back to their usual daily routines. Usually, a year is needed for most children to fully recover.