Rebecca J. Stahl, MA
The hip is made of a bowl shape socket on the pelvis and a ball at the top of the leg bone. A hip osteotomy is a surgery to cut, reshape, and reposition the bones of the pelvis or legs.
Hip osteotomy is done when the hip bones do not fit together well. Poorly fitting hip bones can cause pain and make it difficult to move. Over a long period of time the improper fit can lead to problems like arthritis.
The surgery is most often done in children. It may be done because of:
Complications are rare. But no procedure is completely free of risk. If your child is having an osteotomy, the doctor will review a list of possible complications, including:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor will do a physical examination. They will order imaging tests to help plan the surgery.
Images of the hip bones and other structures may be taken with:
In the days leading up to the surgery, the doctor will talk about the medicines you or your child is taking. Some medicines may need to be stopped before the surgery.
You may be saked to stop eating or drinking after midnight the night before surgery.
is usually used. It blocks pain and keeps
your child asleep through the surgery.
Several incisions will be made to around the hip joint. The specific bones that are altered will depend on your specific condition. The leg and/or pelvic bones will need to be cut. A wedge of bone may be removed. This wedge will be attached to a new area and held in place with plates and screws. The cuts and wedge will let the doctor to change the shape of the bone and position them into a better place.
The incision area will be closed with stitches.
Vital signs will be monitored in a recovery room.
2-5 hours depending on the type of surgery
Anesthesia prevents pain during surgery. Medication will also be given after surgery to help manage pain.
Hospital stay may last for 4-5 days. Complications will lead to a longer stay.
Recovery in the hospital may include:
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
To help ensure a smooth recovery at home:
A physical therapist can help you with balance, range-of-motion, and strength training.
Your doctor will want to check on your progress. Full recovery can take 3-6 months.
After your child leaves the hospital, contact the doctor if your child has:
In case of an emergency, call for medical help right away.
American College of Rheumatology
The Arthritis Foundation
The Arthritis Society
Dega osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at:
http://gait.aidi.udel.edu/procedures/dega_osteotomy.pdf. Accessed April 10, 2013.
Femoral derotational osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at:
http://gait.aidi.udel.edu/procedures/femoral_osteotomy.pdf. Accessed April 10, 2013.
Periacetabular osteotomy. Duke Orthopaedics website. Available at:
http://www.dukehealth.org/orthopaedics/services/hip-treatments/treatments/periacetabular-osteotomy. Accessed April 10, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis.
Am J Med.
Last reviewed Fbruary 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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