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.
The Hip Joint
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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:
Conditions that cause abnormal muscle contractions such as
Hip bones do not form correctly such as in
developmental dysplasia of the hipOther injuries or illnesses of the hip such as Legg-Calve-Perthes disease
Complications are rare. But no procedure is completely free of risk. The doctor will review a list of possible complications, including: Incomplete healing of the boneShortening of the legBleedingBall cannot be fit into the socketInfectionReaction to anesthesiaBlood clotsInjuries to nerves or blood vesselsNausea and vomiting
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Exposure to smokeChronic disease such as diabetes or asthma
Your doctor will do a physical exam.
Images of the hip bones and other structures may be taken with: X-raysMRI scanCT scanArthrogram
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.
is usually used. It blocks pain and promotes sleep 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 allow the shape of the bone to be changed to 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: Pain medicationPlacing and changing bandages over the incision sitesUsing pillow-like devices to separate and support the legsIce to reduce swellingBreathing exercises to decrease the risk of fluid build-up in the lungs
During your stay, the hospital staff will take steps to reduce your chance of infection such as: Washing their handsWearing gloves or masksKeeping your incisions covered
There are also steps you can take to reduce your chances of infection such as: Washing your hands often and reminding visitors and healthcare providers to do the sameReminding your healthcare providers to wear gloves or masksNot allowing others to touch your incisions
To help ensure a smooth recovery at home: You may need to use a walker or wheelchair.Follow the instructions the doctor gives you.
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 leaving the hospital, call if there are any of the following: Signs of infection such as fever and chillsRedness, swelling, increasing pain, excessive bleeding, or discharge around incision siteIncreased pain or swellingCough, shortness of breath, chest painSevere nausea or vomitingNumbness, tingling, or loss of feeling in your leg, knee, or foot
In case of an emergency, call for emergency medical services right away.
Dega osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at:
http://gait.aidi.udel.edu/procedures/dega_osteotomy.pdf. Accessed March 10, 2015.
Femoral derotational osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at:
http://gait.aidi.udel.edu/procedures/femoral_osteotomy.pdf. Accessed March 10, 2015.
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 March 2015 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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