A hip osteotomy is surgery to cut, reshape, and reposition the bones of the pelvis or legs.
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This surgery is done when the hip bones do not fit together well. This can cause pain and make it hard to move. It can also lead to problems like arthritis.
It is most often done in children with health problems that affect the hip, such as cerebral palsy.
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
The surgical team may meet with you to talk about:
General anesthesia will be used. You will be asleep.
Several incisions will be made around the hip joint. Changes will be made to the bones. 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 incisions will be closed with stitches. Bandages will be placed over them.
How long it takes depends on the changes that need to be made. It may take 2 to 5 hours.
Pain and swelling are common in the first 1 to 2 weeks. Medicine and home care can help.
You may be able to go home in 4 to 5 days. If you have problems, you may need to stay longer.
After the procedure, the staff may:
During your stay, staff will take steps to lower your chance of infection, such as:
You can also lower your chance of infection by:
It will take a few weeks for the incisions to heal. Full recovery can take 3 to 6 months. Physical activity will need to be limited at first. You will need to ask for help with daily activities and delay your return to work.
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
American College of Rheumatology
The Arthritis Foundation
Dega osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at: http://gait.aidi.udel.edu/procedures/dega_osteotomy.pdf. Accessed July 17, 2020.
Dempsey ME, Karmazyn BK, et al; American College of Radiology. ACR Appropriateness Criteria on developmental dysplasia of the hip--child. ACR 2013 PDF.
Developmental dysplasia of the hip. EBSCO DynaMed website. Available at:https://www.dynamed.com/condition/developmental-dysplasia-of-the-hip. Updated February 22, 2017. Accessed July 17, 2020.
Femoral derotational osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at: http://gait.aidi.udel.edu/procedures/femoral_osteotomy.pdf. Accessed July 17, 2020.
Last reviewed March 2020 by EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM Last Updated: 4/9/21