Hip dislocation is one of the most painful conditions that can result in difficulties in life. It not only restricts the person’s movement but also causes other issues. Once you identify the problem of hip dislocation, you must visit the best pediatric orthopedic doctor in india doctor to get started on the treatment. Generally, surgery is recommended to resolve the concern. Now, depending on the severity of the condition, the professionals will ensure the congenital hip dislocation treatment is done on time and you get faster relief.
What is the treatment option available here?
You should know that Periacetabular osteotomy is a commonly used surgical procedure for treating cogenital hip dislocation. Generally, acetabular hypoplasia is either present from birth or develops during the first few months of life. Patients suffering from this condition will have shallow sockets of the hip joint. This causes misalignment of the head of the thigh bone and the acetabulum and premature wear and tear of the joint over the years.
The osteotomy orthopedic surgery is used to restore the proper functioning of the hip joint. It is done by cutting the acetabulum from the pelvic bone and then repositioning it using screws / k wire to allow for a better fit of the femoral head. Now, the procedure will help reduce pain and restore function. Once the surgery is done successfully, it will prevent further hip joint deterioration. Thus, it increases the hip joint’s life span and postpones total hip replacement surgery.
Periacetabular osteotomy in Congenital hip dislocation is done for children who are more than 10 years old and adults, preferably who are less than 40 years of age.
Diagnosis
Once the concern has been identified, the professional will examine the patient’s medical history and symptoms and perform a physical examination. Once an X-ray of the hip joint confirms the diagnosis, the doctor might order an MRI to check the condition of the labrum.
Generally, initial treatment is done to manage the symptoms of inflammation and pain. Better keep in mind hip dysplasia can only be treated surgically, either using Periacetabular osteotomy or total hip replacement surgery. In case it is left untreated, this results in progressive arthritis with increasing pain and also progressive loss of hip function.
Surgical procedure
You should know Periacetabular osteotomy is quite a technically challenging surgery. Thus, it is done under fluoroscopy to provide the surgeon with continuous live X-ray guidance. The procedure is performed under general anesthesia / spinal anesthesia with the patient lying on their back. During the procedure, an incision is made over the hip joint. Now, the acetabulum is cut entirely from the rest of the pelvis. The fragment of the bone, which contains acetabulum, is then rotated to a new position so that it quickly covers the head of the femur more naturally. It is then fixed in a new position with the use of screws. Finally, the incision is closed with sutures and surgical staples.
In some instances, cutting and repositioning the femoral head might be required, but this is not known until during the operation. If necessary, the procedure is called a femoral osteotomy, which will be done simultaneously but requires another separate incision.
Risk and complications
When discussing congenital hip dislocation treatment, you should know it is generally a safe surgery. However, certain complications can happen and may include a lack of healing of the involved bones, deep vein thrombosis, wound infection, nerve damage, and pulmonary embolus. Luckily, the medical professional will guide you through everything so that you can manage the condition better and avoid such cases.
Post-operative care
Once the surgery is done, anticoagulants and pain medications are given to the patient. Further crutches are used for the first 6 weeks to prevent full weight bearing on the operated hip until fully recovered. X-rays will also be taken 2 to 3 days after the surgery to confirm the new position of the acetabulum. The doctor will advise physical therapy to be started as soon as possible after the surgery to strengthen the hip muscles and improve hip functions. Generally, it takes about four months after the surgery to recover appropriately.
Now, you must be wondering why you should prefer Periacetabular osteotomy surgery over total hip replacement surgery. Well, there are a lot of advantages for the young patients. This includes.
- Patients who undergo total hip replacement surgery will have hip restrictions to follow to avoid dislocation of the artificial joint. However, patients who choose to undergo Periacetabular osteotomy will have no such restrictions and can enjoy an active life as much as their joint allows without any fear of dislocation.
- A natural joint is better than an artificial joint any day as the natural bone is preserved in the process. Artificial implants can wear out with time. Moreover, there is also a small risk of the release of metal ions from the artificial hip joint, which comes with a risk to the foetus of women of childbearing age.
- Periacetabular osteotomy can be performed in young patients who would likely outlive the life of an artificial implant. As a result, no revision surgery will be required later, which has a higher complication rate. However, keep in mind that THR can be done after Periacetabular osteotomy in case the need arises.
- Finally, the full sensation of the hip joint will be retained in the case of Periacetabular osteotomy when compared to THR, where the natural bone is lost due to an artificial material implant.
Conclusion
Regarding congenital hip dislocation treatment, periacetabular osteotomy is undoubtedly a great solution. However, it will depend entirely on the patient’s condition and the doctor’s recommendation. Make sure that you get in touch with Trishla Ortho for their assistance. They have years of experience handling cases. No matter the complications, they guarantee that the patient receives timely aid and that the surgery is performed well. They will be able to ensure better recovery and treatment altogether.
