A spica cast is usually applied to maintain the hip in the socket. Open surgery is typically necessary to realign the hip. In some children, the looseness worsens as the child grows and becomes more active. Afterward, the child is placed in a spica cast to maintain the proper hip position. X-rays are taken during the operation to confirm that the bones are in position. In some cases, the thighbone will be shortened to properly fit the bone into the socket. In this procedure, an incision is made at the baby's hip that allows the surgeon to clearly see the bones and soft tissues. If a closed reduction procedure is not successful at putting the thighbone in its proper position, open surgery is necessary. This may be done at home or in the hospital. Skin traction prepares the soft tissues around the hip for the change in bone positioning. Skin traction may be used for a few weeks prior to repositioning the thighbone. Older babies are also treated with closed reduction and spica casting. Your child's doctor and healthcare team will teach you how to perform daily activities, maintain the cast, and identify any problems.Ħ months to 2 years. This procedure is done while the baby is under anesthesia.Ĭaring for a baby in a spica cast requires specific instruction. Your child's doctor will gently move your baby's thighbone into proper position, then apply a body cast (spica cast) to hold the bones in place. In some cases, a closed reduction procedure is required. If the hip will not stay in position using a harness, your child's doctor may try an abduction brace made of firmer material that will keep your baby's legs in position. It is usually worn full-time for at least 6 weeks, and then part-time for an additional 6 weeks. How long the baby will require the harness varies.
This method is usually successful, even with hips that are initially dislocated. Similar to newborn treatment, a baby's thighbone is repositioned in the socket using a harness or similar device. It is very important to attend all of your baby's scheduled clinic visits so the doctor can check the hip and the fit of the Pavlik harness.ġ month to 6 months. Your doctor and healthcare team will teach you how to safely perform daily care tasks, such as diapering, bathing, feeding, and dressing.
Parents play an essential role in ensuring the harness is effective. Newborns may be placed in a Pavlik harness for 1 to 3 months to treat DDH.