3. Congenital Hip Dislocation

Surgical Treatment









• > 3 years



• will have developed a short leg, lumbar lordosis & Trendelenburg gait



• may be a coincidental finding



• Plan = open reduction & femoral shortening (subtrochanteric) plus


acetabuloplasty.



• Total Hip Replacement in an unreduced DDH is difficult & the results

are not good.
















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Ilizarov













































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Nursing Care




































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Recovery









• In many children with DDH, a body cast and/or brace is required to

keep the hip bone in the joint during healing. The cast may be needed


for 2 to 3 months.








• X-rays and other regular follow-up monitoring are needed after DDH


treatment until the child's growth is complete.






















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Nursing care









• Advice to follow instruction to maintain the treatment at


home for good outcome









• Take care of baby hygiene



➢Remove splint during cleaning baby & put on again


immediately after cleaning









• Care of skin integrity – pressure sore areas



➢Patient on splinting & traction



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Health Education

























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Complications









1. treated with spica casting


• may have a delay in walking.


• when the cast is removed, walking development proceeds normally.






• The Pavlik harness and other positioning devices



• cause skin irritation around the straps, and a difference in leg length may

remain.


• Growth disturbances of the upper thighbone are rare















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