Hip Osteotomy(Osteotomy, Hip)
by
Rebecca J. Stahl, MA DefinitionThe 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.
Reasons for Procedure TOPHip 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:
Possible Complications TOPComplications are rare. But no procedure is completely free of risk. 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:
What to Expect TOPPrior to ProcedureImages of the hip bones and other structures may be taken with: In the days leading up to the surgery, the doctor will talk about your medications. Some medications may need to be stopped before the surgery. You may be asked to stop eating or drinking after midnight the night before surgery. AnesthesiaGeneral anesthesia is usually used. It blocks pain and promotes sleep through the surgery. Description of the Procedure TOPSeveral incisions will be made 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 allow the shape of the bone to be changed to position them into a better place. The incision area will be closed with stitches. Immediately After Procedure TOPVital signs will be monitored in a recovery room. How Long Will It Take? TOP2-5 hours depending on the type of surgery How Much Will It Hurt? TOPAnesthesia prevents pain during surgery. Medication will also be given after surgery to help manage pain. Average Hospital Stay TOPHospital stay may last for 4-5 days. Complications will lead to a longer stay. Post-procedure Care TOPAt the HospitalRecovery 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:
At HomeTo 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. Call Your Doctor TOPContact your doctor if your recovery is not progressing as expected or you develop complications such as:
In case of an emergency, call for emergency medical services right away. RESOURCES:American College of Rheumatology http://www.rheumatology.org The Arthritis Foundation http://www.arthritis.org References:Dega osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at: ...(Click grey area to select URL) Accessed February 9, 2018. Femoral derotational osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at: ...(Click grey area to select URL) Accessed February 9, 2018.
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Last reviewed February 2018 by
EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM Last Updated: 1/27/2014 |
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