Developmental dysplasia of the hip

Parental and patient compliance with treatment regimen is a necessary component of successful treatment of developmental dysplasia of the hip and low incidence of complications. It is important that the parents understand the reasons for referral to a pediatric orthopedist and what the potential evaluation and treatment interventions may be. They should be advised that therapy may include clinical and radiographic observations, bracing, closed reduction, operative reconstruction of the hip, and spica casting.

Steps Charity: a guide to developmental dysplasia of the hip Opens in new window

It is important to emphasize the compliance with Pavlik harness or bracewear. Follow-up as indicated while undergoing brace treatment is needed to ensure adequate fit and to avoid complications. Clinical and radiographic follow-up over the course of growth will be recommended for most children referred to an orthopedic surgeon for issues of hip instability and dysplasia. Reinforcement of the necessity of this routine follow-up, even when the child is asymptomatic, is an important component of the parent and patient education for these patients.