Munson Health
 
Hip Osteotomy

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by Stahl RJ

(Osteotomy, Hip)

 

What to Expect

Prior to Procedure

Your doctor will do a physical examination. They 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.

Anesthesia

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 will be attached to a new area and held in place with plates and screws. The cuts and wedge will let the doctor to change the shape of the bone and position them 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

How Much Will It Hurt?

Anesthesia prevents pain during surgery. Medication will also be given after surgery to help manage pain.

Average Hospital Stay

Hospital stay may last for 4-5 days. Complications will lead to a longer stay.

Post-procedure Care

At the Hospital
Recovery in the hospital may include:
  • Pain medication
  • Placing and changing bandages over the incision sites
  • Using pillow-like devices to separate and support the legs
  • Ice to reduce swelling
  • Breathing 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 hands
  • Wearing gloves or masks
  • Keeping 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 same
  • Reminding your healthcare providers to wear gloves or masks
  • Not allowing others to touch your incisions
At Home
To help ensure a smooth recovery at home:
  • Give pain medicine as directed.
  • Keep the incision area clean and dry. Care for the wound as instructed by the doctor.
  • Ask the doctor when it is safe to shower, bathe, or soak in water.
  • 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.
 

RESOURCES

American College of Rheumatology
http://www.rheumatology.org

The Arthritis Foundation
http://www.arthritis.org

 

CANADIAN RESOURCES

The Arthritis Society
http://www.arthritis.ca

Health Canada
http://www.hc-sc.gc.ca

 

References


Dega osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at: http://gait.aidi.udel.edu/procedures/dega%5Fosteotomy.pdf. Accessed April 10, 2013.


Femoral derotational osteotomy. Nemours, Alfred I DuPont Hospital for Children website. Available at: http://gait.aidi.udel.edu/procedures/femoral%5Fosteotomy.pdf. Accessed April 10, 2013.


Periacetabular osteotomy. Duke Orthopaedics website. Available at: http://www.dukehealth.org/orthopaedics/services/hip-treatments/treatments/periacetabular-osteotomy. Accessed April 10, 2013.


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. 2011;124(2):144-154.e8.

 

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