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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 and reposition the bones of the pelvis or legs.
Reasons for Procedure
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:
- Reaction to anesthesia
- Blood clots
- Nausea and vomiting
- Injuries to nerves or blood vessels
- Shortening of the leg
- Ball cannot be fit into the socket
Discuss these risks with your doctor before surgery.
What to Expect
Prior to Procedure
Your doctor 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.
General anesthesia is usually used. It blocks pain and keeps you or your child asleep through the surgery.
Description of the Procedure
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 may be attached to a new area and held in place with plates and screws. The cuts and wedge will let the doctor reposition the bones into a better place.
The incision area will be closed with stitches.
Immediately After Procedure
Vital signs will be monitored in a recovery room.
How Long Will It Take?
2-5 hours depending on the type of surgery