Osteotomy of the hip

Description osteotomy of the femur

During the osteotomy of the femur, adjusted femoral (hip) and / or the pelvic bone. The pelvic bone hip joint is a ball (femoral head). This operation done, To change this joint way, to head (in the upper thigh) jack and the right approach to each other.

Causes of hip osteotomy

Osteotomy of the hip is usually performed in children. This procedure is performed, when the head and socket do not fit together. This may be due to improper development of the bones due to cerebral palsy. Osteotomy can also be performed for the treatment of congenital disease, called hip dysplasia. The procedure allows to avoid dislocation of the hip. Hip osteotomy can be performed in adults, but it is rare.

Complications of hip osteotomy

Complications are rare, but no procedure does not guarantee the absence of risk. Before you perform a hip osteotomy, you need to know about possible complications, which may include:

• Bleeding;
• Reaction to anesthesia;
• Infection;
• Blood clots;
• Nausea and vomiting;
• Injury of nerves and blood vessels;
• Reducing the length of the legs;
• Unable to set the ball in place.

Factors, that may increase the risk of complications:

• Smoking.

We need to discuss these risks with your doctor before surgery.

How is hip osteotomy?

Preparing for Surgery

Before surgery, the doctor will prescribe examination, to confirm the diagnosis and decide, how much bone needs to be removed. Tests may include:

• X-ray examination;
• МРТ – тест, which uses magnetic waves, to make pictures of structures inside the body;
• КТ – типа рентгена, which uses computer, to make pictures of structures inside the body;
• Рентгенограмма сустава – в сустав вводится контрастное вещество и выполняются рентгеновские снимки.

In just a few days before surgery:

• It is necessary to review the list of medicines, who takes a child. Some medications, perhaps, You must be canceled prior to the transaction;
• Depending on the age of the child, It may be instructed not to eat or drink the night before surgery.

Anesthesia

During the operation using general anesthesia, which blocks any pain and supports the patient during sleep.

Procedure osteotomy of the femur

Depending on the condition of the child, you need to operate the femoral, or both pelvic bones. The goal is, To change the hip joint so, that it has been correctly installed in its place.

The doctor will use one of the techniques of medical imaging, to find a piece of bone, to be deleted. They will make a few cuts, to gain access to the hip joint. Abnormal bone tissue are cut. Thereafter bones in their new position fixed by the metal plates and screws. The incisions will be closed seams. In carrying out may need to lengthen the muscles in the groin.

Immediately after treatment

The child will be in the recovery room for several hours. A nurse will monitor his vital functions. To reduce discomfort, pain medicine may be injected into a vein in the arm.

How long will the osteotomy of the hip?

2-5 hours depending on the complexity of the operation.

Остеотомия бедра – будет ли это больно?

Anesthesia prevents pain during surgery. Doctor will prescribe your child pain medicine after surgery to receive.

The average hospital stay

Child, perhaps, will have to remain in hospital for 4-5 days. The doctor can extend the period of stay, if there were complications.

Care after osteotomy of the femur

Care in a hospital

During the child's stay in the hospital staff may provide the following care:

• Provide pain medicine;
• Change the bandage at the incision;
• Put between the child's legs device, cushiony, to prevent their compression;
• Applying ice, to reduce swelling;
• A child should breathe deeply and cough 10-20 times each hour, to reduce the risk of fluid accumulation in the lungs.

The child may need to use a walker or wheelchair during recovery.

Home Care

When the child returns home, follow these steps:, to ensure the normal recovery:

• Give your child pain medicine for its intended purpose;
• Keep the incision site clean and dry. Care for the wound as directed by a doctor;
• Ask the doctor, when it is safe to shower, bathe, or to expose the surgical site to water;
• Your child, perhaps, I have for some time used a walker;
• Follow your doctor's instructions.

The child will work with a physical therapist on the balance, extension range of motion, to engage in weight training.

A child over time will need to go back to the doctor, to make an X-ray. Full recovery may take 3-6 months.

Contact your doctor after hip osteotomy

After, child leaves hospital, you need to see a doctor, If the following symptoms:

• Signs of infection (eg, fever, chills);
• Redness, edema, increased pain, bleeding or discharge from the incision;
• Increased pain or swelling;
• Cough, breathlessness, chest pain;
• Severe nausea and vomiting;
• Numbness, tingling or loss of sensation in the foot, slaughter, or feet;
• Pain, burning, Frequent urination, blood in urine.