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Closed reduction for hip dislocation
Closed reduction is a specific type of surgery that is used to correct dysplasia of the hip (hip dislocation) in babies.
Surgery for a dislocated hip
Closed reduction surgery is a procedure to correct hip dysplasia (hip dislocation) in young children. It can be a fairly common operation for babies between 6 to 24 months.
If your baby's hip is dislocated, our consultant surgeon will gently manipulate the ball at the top of the thigh bone (femoral head) back into its socket. A special hip cast allows the hip joint to strengthen and stabilise the area in the longer term.
Your child's consultant will firstly perform an arthrogram. This is a minimally invasive procedure conducted under local anaesthetic. A special dye is inserted into your baby's hip joint to produce X-ray images of the area.
For the closed reduction procedure your baby will be placed under general anaesthetic. The surgeon will make a very small opening at your child's groin, allowing access to the adductor tendon. The tendon is often very tight, and so releasing it can take the pressure of the soft tissues around the hip joint. It is then possible to gently move the ball at the top of your baby's thigh bone (femoral head) back into its socket.
Your child's consultant will explain how to prepare for their arthrogram, answering any questions you might have.
Your child's consultant surgeon will place them into a spica cast. This helps to ensure their hip remains in its newly aligned position. The cast is changed every six weeks and may be worn for between three to six months.
After the spica cast is removed, your baby will likely wear a hip abduction brace for the next few weeks. This is to provide them extra support with movement and muscle strengthening, as they would have been wearing a cast for an extended period of time.
Our Closed reduction for hip dislocation locations
The Lister Hospital
Chelsea Bridge Road, SW1W 8RH London
The Portland Hospital
205-209 Great Portland Street W1W 5AH London
The Wellington Hospital
8A Wellington Place NW8 9LE London
London Bridge Hospital
27 Tooley Street SE1 2PR London
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
Institute of Sport Exercise and Health (ISEH)
170 Tottenham Court Road W1T 7HA London
The Shard Outpatients
The Shard, 32 St Thomas Street SE1 9BS London
Chelsea Outpatients
280 King's Road SW3 5AW London
The Princess Grace Hospital Outpatients
30 Devonshire Street W1G 6PU London
Elstree Waterfront Outpatients
Beaufort House WD6 3BS Elstree
Golders Green Outpatients
Golders Green Outpatients and Diagnostic Centre NW11 9PY London
The Wellington Hospital Outpatients
15 - 17 Lodge Road NW8 7JA London
Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
David’s gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist, former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.